Kevin Logue, ATC

NPI #1124165535 in Rochester, Minnesota

Provider Information

NPI Number: 1124165535
Entity Type: Individual
Name: Kevin Logue, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: ATC
Enumeration Date: Feb 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 915 7TH AVE SW
City: Rochester
State: Minnesota
ZIP Code: 55902-6376
Phone: (507) 273-3027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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