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Individual

KRISTEN ELIZABETH LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
879 E MICHIGAN AVE, MARSHALL, MI 49068-2045
(269) 781-4251
Mailing address
205 KINGMAN AVE E, BATTLE CREEK, MI 49014-5138
(517) 418-0031

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005684
MI

Other

Enumeration date
10/14/2018
Last updated
10/14/2018
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