Individual
LOGAN MARIE KROENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
540 E YOUNG AVE STE E, WARRENSBURG, MO 64093-1250
(660) 262-4795
(660) 747-0347
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
2021035533
MO
Other
Enumeration date
04/21/2021
Last updated
05/10/2024
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