Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOGAN PLUCKEBAUM, IP
Active Sole ProprietorLOGAN PLUCKEBAUM, IP is a Developmental Therapist healthcare provider located in BOISE, Idaho. NPI 1649158718 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · BOISE, ID
Registration Details
- NPI Number
- 1649158718
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 26, 2025 (1.0042032281557 yrs)
- Last Updated
- Aug 26, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
7557 W USTICK RDBOISE, ID, 837045810Browse ID providers · Browse ZIP 83704
- Phone
- 2088904405
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| ANDREA RAMONA ORTEGA | — | 1396149928 |
| CHARLENE DAVIS | — | 1144689068 |
| JESSICA ELIZABETH SMITH-FISHER | — | 1639538465 |
| EMILY HANEY | — | 1841650462 |
| JESSICA BAFFOE | — | 1902266901 |
| JAMI HERNANDEZ | — | 1407216278 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.