Logan Bailey, | |
851 S Clinton St, Defiance, OH 43512-2770 | |
(419) 785-4415 | |
Not Available |
Full Name | Logan Bailey |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 851 S Clinton St, Defiance, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275260846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Defiance Physical Therapy And Sports Medicine, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023458270 PECOS PAC ID: 2466696380 Enrollment ID: O20130916000524 |
Mailing Address | Practice Location Address |
---|---|
Logan Bailey, 851 S Clinton St, Defiance, OH 43512-2770 Ph: (419) 785-4415 | Logan Bailey, 851 S Clinton St, Defiance, OH 43512-2770 Ph: (419) 785-4415 |
Defiance Physical Therapy And Sports Medicine, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 201 E 2nd St, Defiance, OH 43512 Phone: 419-575-0281 | |
Megan Elizabeth Vogelsong, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 851 S Clinton St, Defiance, OH 43512 Phone: 419-785-4415 | |
Ms. Brenda J Keck, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-784-1414 Fax: 419-783-3269 | |
Kristiane Grime, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-783-3309 | |
Mrs. Renae Helen Schlachter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 851 S Clinton St, Defiance, OH 43512 Phone: 419-782-8808 Fax: 419-782-8148 | |
Ryan C Crandall, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 851 S Clinton St, Defiance, OH 43512 Phone: 419-782-8808 Fax: 419-782-8148 |