Individual
LOGAN KAY BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8017 DOGWOOD LN, MILAN, TN 38358-6805
(731) 686-8373
Mailing address
80 UNION CENTRAL RD, MILAN, TN 38358-5508
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4788
TN
Other
Enumeration date
12/31/2021
Last updated
12/31/2021
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