Individual
LOGAN CHAZ RAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5170 CHARLESTOWN RD STE 102, NEW ALBANY, IN 47150-8400
(812) 590-8888
(812) 590-8890
Mailing address
PO BOX 5629, EVANSVILLE, IN 47716-5629
(502) 882-9379
(502) 805-0526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014264A
IN
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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