Individual
DR. LOGAN REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5730 RUDDELL RD SE STE A, LACEY, WA 98503-6400
(360) 338-3901
Mailing address
7310 ELGAR ST, SPRINGFIELD, VA 22151-3132
(540) 470-0505
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2305211938
VA
225100000X
Physical Therapist
Primary
PT61231005
WA
Other
Enumeration date
03/13/2024
Last updated
11/14/2024
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