Individual
LOGAN GAITE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 CROSSLAKE DR STE B, EVANSVILLE, IN 47715-8263
(812) 476-0409
(812) 476-1016
Mailing address
175 S ENGLISH STATION RD STE 218, LOUISVILLE, KY 40245-4199
(502) 882-9379
(502) 805-0526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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