Individual
LOGAN AVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5690 WATERMELON RD STE 300, NORTHPORT, AL 35473-5009
(205) 409-6665
(205) 310-3478
Mailing address
5690 WATERMELON RD STE 300, NORTHPORT, AL 35473-5009
(205) 409-6665
(205) 310-3478
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH10600
AL
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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