NPI 1013450691

Logan Gegg, PTA

Practitioner Physical Therapy Assistant Saint Mary, MO

Practice location

Address: 19536 State Rte N, Saint Mary, MO 63673-9002
Phone: (573) 535-1407

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2016025040 (MO)

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Registry record

NPI: 1013450691
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Nov 2016
Record last updated: 30 Nov 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.