Individual
LOGAN M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1775 ALYSHEBA WAY STE 10, LEXINGTON, KY 40509-2479
(859) 260-4540
(859) 260-4545
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4914
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007579
KY
Other
Enumeration date
06/17/2019
Last updated
12/02/2020
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