Logan Michael Richard

NPI #1265195606 in Le Mars, Iowa

Provider Information

NPI Number: 1265195606
Entity Type: Individual
Name: Logan Michael Richard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Oct 21, 2021
Last Updated: Jun 9, 2022

Practice Location

Address: 789 HOLTON DR
City: Le Mars
State: Iowa
ZIP Code: 51031-3757
Phone: (712) 546-1718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physical Therapist	225100000X	Primary

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