Individual
HANNAH G LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1708 COLLIER ST, AUSTIN, TX 78704-2917
(940) 210-9166
Mailing address
1708 COLLIER ST, AUSTIN, TX 78704-2917
(940) 210-9166
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
130701
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210280
INSURANCE PLUS
TX
Enumeration date
04/20/2021
Last updated
04/20/2021
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