NPI 1003272543

Logan Stewart Waddell, PTDPT

Practitioner Physical Therapist Cincinnati, OH

Practice location

Address: 8135 Beechmont Ave West 269, Cincinnati, OH 45255-6138
Phone: (513) 368-5212
Mailing address: 2614 Royalwoods CT, Cincinnati, OH 45244-3655

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT015171 (OH)

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Registry record

NPI: 1003272543
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jan 2016
Record last updated: 13 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.