Individual
LOGAN M GUSHIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1301 PENNSYLVANIA AVE STE 213, DES MOINES, IA 50316-2365
(515) 224-1414
(515) 224-5410
Mailing address
1301 PENNSYLVANIA AVE STE 213, DES MOINES, IA 50316-2365
(515) 224-1414
(515) 224-5140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
090351
IA
Other
Enumeration date
02/01/2018
Last updated
10/18/2024
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