Individual
MRS. EMILY IRENE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
17128 W 198TH ST, SPRING HILL, KS 66083-8510
(816) 262-3079
Mailing address
1916 N 2ND ST, SAINT JOSEPH, MO 64505-2512
(816) 262-3079
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/02/2007
Last updated
11/09/2023
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