Larken Logan, DPT | |
500 Eagle Lake Trl, Rome, GA 30165-2246 | |
(706) 728-3709 | |
Not Available |
Full Name | Larken Logan |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 500 Eagle Lake Trl, Rome, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518534601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT011030 (Georgia) | Primary |
Provider Name | Functional Pathways Preferred Of Tennessee Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20150213001140 |
Mailing Address | Practice Location Address |
---|---|
Larken Logan, DPT 10133 Sherrill Blvd Ste 200, Knoxville, TN 37932-3347 Ph: (865) 227-9187 | Larken Logan, DPT 500 Eagle Lake Trl, Rome, GA 30165-2246 Ph: (706) 728-3709 |
Marius Florin Bodiu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Turner Mccall Blvd Nw, Rome, GA 30165 Phone: 706-235-2727 Fax: 706-235-2726 | |
Buffy D Crenshaw, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Turner Mccall Blvd Nw, Rome, GA 30165 Phone: 706-236-2758 Fax: 706-802-1408 | |
Mr. Steven John Wright, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3870 Martha Berry Hwy Ne, Rome, GA 30165 Phone: 706-378-3124 | |
Kimberly H Reynolds, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E 6th Ave, Rome, GA 30161 Phone: 706-378-9044 Fax: 706-378-9046 | |
Erin Green Pollock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 224 Shorter Ave Nw, Rome, GA 30165 Phone: 706-235-2727 Fax: 706-235-2726 | |
Ryan Blake Cheeley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Turner Mccall Blvd Nw, Rome, GA 30165 Phone: 706-236-2758 Fax: 706-802-1408 | |
Cory R Tucker, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 305 N 5th Ave Sw, Rome, GA 30165 Phone: 706-292-0040 Fax: 706-378-0556 |