Tyler Aaron Logan

NPI #1962204339 in Moore, Oklahoma

Provider Information

NPI Number: 1962204339
Entity Type: Individual
Name: Tyler Aaron Logan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Mar 26, 2025
Last Updated: Mar 26, 2025

Practice Location

Address: 700 S TELEPHONE RD
City: Moore
State: Oklahoma
ZIP Code: 73160
Phone: (405) 912-3055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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