Logan Miller

NPI #1003414814 in West Plains, Missouri

Provider Information

NPI Number: 1003414814
Entity Type: Individual
Name: Logan Miller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Oct 14, 2020
Last Updated: Oct 14, 2020

Practice Location

Address: 1111 N KENTUCKY AVE
City: West Plains
State: Missouri
ZIP Code: 65775-2028
Phone: (417) 257-5959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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