Shannon L Logsdon in Mattawan - Physical Therapist
Shannon L Logsdon - NPI 1114071487
Shannon L Logsdon is a Physical Therapist in Mattawan, Michigan. Shannon L Logsdon practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Shannon L Logsdon is 1114071487. The last update date is 2007-10-25.
Shannon L Logsdon's current location address is 23200 Red Arrow Hwy Ste A, Mattawan, Michigan. You can contact this provider via phone number 2696685930 and fax number 2696685921. The mailing address for Shannon L Logsdon is 23200 Red Arrow Hwy Ste A, Mattawan, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon L Logsdon |
|---|---|
| Address | 23200 Red Arrow Hwy Ste A, Mattawan, Michigan |
| Phone Number | 2696685930 |
| Fax Number | 2696685921 |
| Sole Proprietor | N |
| Credentials | MSPT |
NPI Number Detail
| NPI Number | 1114071487 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2007-10-25 |
Provider Mailing Address Detail
| Address | 23200 Red Arrow Hwy Ste A |
|---|---|
| City | Mattawan |
| State | Michigan (MI) |
| Post Code | 490717754 |
| Phone Number | 2696685930 |
| Fax Number | 2696685921 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5501011936 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shannon L Logsdon by the Centers for Medicare & Medicaid Services?
The Shannon L Logsdon has been issued the NPI (National Provider Identifier) 1114071487, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Shannon L Logsdon?
The Shannon L Logsdon is physically situated at 23200 Red Arrow Hwy Ste A, in the city of Mattawan, state of MI, with the postal code 490717754.
What is Shannon L Logsdon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shannon L Logsdon's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.
On what date was the 1114071487 assigned to Shannon L Logsdon?
The Shannon L Logsdon was issued its 1114071487 on 2007-01-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Shannon L Logsdon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shannon L Logsdon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-25.