Individual
LOGAN SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5905 REMINGTON CIR, FORT SMITH, AR 72903-6523
(479) 452-7773
(479) 452-7774
Mailing address
PO BOX 11122, FORT SMITH, AR 72917-1122
(479) 452-7773
(479) 452-7774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5888
OK
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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