Logan Spacek

NPI #1750767984 in Colleyville, Texas

Provider Information

NPI Number: 1750767984
Entity Type: Individual
Name: Logan Spacek
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Aug 11, 2015
Last Updated: Aug 11, 2015

Practice Location

Address: 5810 PONDEROSA ST
City: Colleyville
State: Texas
ZIP Code: 76034-6003
Phone: (979) 716-9292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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