Individual
MATTHEW RYAN LOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3317 N WIMBERLY DR FL 2, FAYETTEVILLE, AR 72703-4056
(479) 587-3117
(479) 587-3185
Mailing address
3317 N WIMBERLY DR FL 2, FAYETTEVILLE, AR 72703-4056
(479) 587-3117
(479) 587-3185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3922
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT3922
ARKANSAS PHYSICAL THERAPY BOARD
AR
Enumeration date
09/09/2014
Last updated
08/27/2020
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