Logos Outpatient Clinic Llc in Boone - Physical Therapist

Logos Outpatient Clinic Llc - NPI 1720068158

Logos Outpatient Clinic Llc is a Physical Therapist in Boone, North Carolina. Logos Outpatient Clinic Llc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Logos Outpatient Clinic Llc is 1720068158. The last update date is 2008-03-27.

Logos Outpatient Clinic Llc's current location address is 726 State Farm Road, Boone, North Carolina. You can contact this provider via phone number 8282640501 and fax number 8282620935. The mailing address for Logos Outpatient Clinic Llc is 726 State Farm Road, Boone, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Logos Outpatient Clinic Llc
Address 726 State Farm Road, Boone, North Carolina
Phone Number 8282640501
Fax Number 8282620935
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CLINIC DIR
Authorized Official Name Robertson Eugene Danny
Credentials MSPT
Telephone Number 8282640501

NPI Number Detail

NPI Number 1720068158
Provider Enumeration Date 2006-01-20
Last Updated Date 2008-03-27

Provider Mailing Address Detail

Address 726 State Farm Road
City Boone
State North Carolina (NC)
Post Code 28607
Phone Number 8282640501
Fax Number 8282620935

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 3307
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
011W4 NC BCBSNC
7272080 NC --
75936 NC MEDCOST

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FAQs about Logos Outpatient Clinic Llc

What is the unique identification code assigned to Logos Outpatient Clinic Llc by the Centers for Medicare & Medicaid Services?

The Logos Outpatient Clinic Llc has been issued the NPI (National Provider Identifier) 1720068158. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Logos Outpatient Clinic Llc's facilities are situated?

The facilities of Logos Outpatient Clinic Llc are physically located at the following address: 726 State Farm Road, Boone, NC, 28607.

What is Logos Outpatient Clinic Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Logos Outpatient Clinic Llc is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1720068158 to Logos Outpatient Clinic Llc?

The Centers for Medicare & Medicaid Services originally issued the 1720068158 to Logos Outpatient Clinic Llc on 2006-01-20.

When was the information regarding Logos Outpatient Clinic Llc most recently updated?

The details pertaining to the Logos Outpatient Clinic Llc, including its address, specialty, and other relevant information, were last refreshed on 2008-03-27.

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