Individual
LOGAN PAUL MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
727 SE MAIN ST STE 200, SIMPSONVILLE, SC 29681-3262
(864) 999-3831
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14748
TN
225100000X
Physical Therapist
304936
CA
225100000X
Physical Therapist
CP0277702T
NC
225100000X
Physical Therapist
CP035275T
GA
225100000X
Physical Therapist
Primary
CP043916T
SC
225100000X
Physical Therapist
PT42664
FL
Other
Enumeration date
01/09/2023
Last updated
11/27/2025
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