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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LOGAN ARDEN KANODE, PT, DPT, CWC

Active Sole Proprietor

LOGAN ARDEN KANODE, PT, DPT, CWC is a Physical Therapy Assistant healthcare provider located in CLOVIS, New Mexico. NPI 1992049894 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CLOVIS, NM

Registration Details

NPI Number
1992049894
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2012 (13.758381541985 yrs)
Last Updated
Oct 29, 2020
Licenses
PT4234 (NM)
4234 (NM)
Sole Proprietor
Yes

Practice Information

Address
1609 N PRINCE ST
CLOVIS, NM, 881014850
Browse NM providers · Browse ZIP 88101
Phone
5054541213
Fax
5054252798
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in CLOVIS, NM

Name Credential NPI
MR. DONALD RAY HUDSON P.T. 1104926443
JOHN ANSEL CRUZ JIMENEZ PT 1609945328
RUSSELL WORTHY CAMERON PT 1881769438
VALORIA MICU-PARALES PT 1558533885
FHEB G GARCIA PT 1851566103
MRS. ROBYN NICOLE HENDERSON PT, DPT 1932427556
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.