Individual
LOGAN THOMAS PETTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9151 NE 81ST TER, KANSAS CITY, MO 64158-1294
(816) 415-4971
Mailing address
7917 N FLINTLOCK RD, G, KANSAS CITY, MO 64158-1126
(816) 352-6967
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2015028950
MO
225100000X
Physical Therapist
Primary
PT294285
CA
Other
Enumeration date
08/14/2015
Last updated
04/19/2018
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