| Dr Logan Reddy, DPT | |
|
5730 Ruddell Rd Se Ste A, Lacey, WA 98503-6400 | |
| (360) 338-3901 | |
| Not Available |
| Full Name | Dr Logan Reddy |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 5730 Ruddell Rd Se Ste A, Lacey, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912766916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT61231005 (Washington) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 2305211938 (Virginia) | Secondary |
| Provider Name | Benchmark Physical Therapy Of Oregon Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1801257191 PECOS PAC ID: 0143510602 Enrollment ID: O20160613001008 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Logan Reddy, DPT 7310 Elgar St, Springfield, VA 22151-3132 Ph: (540) 470-0505 | Dr Logan Reddy, DPT 5730 Ruddell Rd Se Ste A, Lacey, WA 98503-6400 Ph: (360) 338-3901 |
Dorothy Kilvington, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 130 Marvin Rd Se Ste 203, Lacey, WA 98503 Phone: 360-456-3300 | |
Abigail Namocatcat, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4200 6th Ave Se, Suite 201, Lacey, WA 98503 Phone: 360-459-8311 | |
Nicole Dominique Jalandoni Vasquez, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1445 Galaxy Dr Ne Ste 301, Lacey, WA 98516 Phone: 360-456-1444 | |
Juman Park, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4800 College St Se, Lacey, WA 98503 Phone: 360-486-2900 | |
Samantha Rossi Perdue, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7940 29th Ave Ne Ste 101, Lacey, WA 98516 Phone: 360-870-2473 | |
Kathleen G Jech, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4770 Yelm Hwy Se, Lacey, WA 98503 Phone: 360-491-6074 Fax: 360-491-6192 | |
Michaela Jane De Groot, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 College St Se, Lacey, WA 98503 Phone: 360-486-2900 |