Logan D Tate, PT
Physical Therapist in Omaha, NE. Individual provider (NPI-1).
NPI number1760100671
StatusActive
Last updated in NPPESAug 16, 2022
Details
- NPI
- 1760100671
- Entity type
- Individual (NPI-1)
- Name
- Logan D Tate
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2022
- Certification date
- Aug 16, 2022
- Last updated
- Aug 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 4352 | NE | Yes |
Practice location
2725 S 144th St Ste 212Omaha, NE 68144-5253
Phone 402-637-0800
Mailing address
2725 S 144th St Ste 212Omaha, NE 68144-5253
Phone 402-637-0800
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