# FULL LIFE PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831957745
- **Authorized official:** DR. LOGAN LEE PT, DPT (PHYSICAL THERAPIST / OWNER)
- **Authorized official phone:** (828) 734-3469

## Contact information

- **Practice address:** 241 TOOLE CIR, BEECH ISLAND, SC 29842
- **Practice address phone:** (828) 734-3469
- **Mailing address:** 241 TOOLE CIR, BEECH ISLAND, SC 29842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | — | NULL | Yes |
| 2251G0304X | Geriatric Physical Therapist | — | — | Yes |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 03/06/2024
- **Last updated:** 03/06/2024