Individual
TINA M LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
2555 HIGHWAY 78 E, JASPER, AL 35501-3433
(205) 385-7919
(205) 803-6458
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH 3715
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63-1196634
EMPLOYER TAX ID
AL
01
—
71-0945220
EMPLOYER TAX ID
AL
Enumeration date
02/08/2007
Last updated
09/21/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us