Logan Mckenzie Widvey, PT
NPI #1649047754 in Pierre, South Dakota
Provider Information
- NPI Number
- 1649047754
- Entity Type
- Individual
- Name
- Logan Mckenzie Widvey, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Dec 8, 2023
- Last Updated
- Dec 8, 2023
Practice Location
- Address
- 801 E SIOUX AVE
- City
- Pierre
- State
- South Dakota
- ZIP Code
- 57501-3323
- Phone
- (605) 224-3162
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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