Individual
LOGAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 N KENTUCKY AVE, WEST PLAINS, MO 65775-2028
(417) 257-5959
Mailing address
11004 STATE ROUTE 17, WEST PLAINS, MO 65775-5861
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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