Logan Marie Ketchum, DC

NPI #1639643117 in Mattawan, Michigan

Provider Information

NPI Number: 1639643117
Entity Type: Individual
Name: Logan Marie Ketchum, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jan 17, 2019
Last Updated: Apr 14, 2022

Practice Location

Address: 24285 RED ARROW HWY STE A
City: Mattawan
State: Michigan
ZIP Code: 49071-7700
Phone: (269) 399-4690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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