Logan C Owens, PT | |
8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654-1622 | |
(662) 893-1933 | |
(662) 893-1934 |
Full Name | Logan C Owens |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 8110 Camp Creek Rd Ste 106, Olive Branch, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588894216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 8425 (Tennessee) | Primary |
Provider Name | Agilitas Usa Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
Mailing Address | Practice Location Address |
---|---|
Logan C Owens, PT 800 Crescent Centre Dr Ste 300, Franklin, TN 37067-7285 Ph: (615) 373-1350 | Logan C Owens, PT 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654-1622 Ph: (662) 893-1933 |
Nicholas Bailey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654 Phone: 662-893-1933 Fax: 662-893-1934 | |
Tina Marie Erber, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4780 Medora Dr, Olive Branch, MS 38654 Phone: 662-895-1891 | |
Exos Physical Therapy & Sports Medicine, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 6542 Goodman Rd Ste 101, Olive Branch, MS 38654 Phone: 205-259-3991 | |
Joshua Mark Day, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654 Phone: 662-893-1933 Fax: 662-893-1934 | |
Tarah L Rudd, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4578 Pleasant Breeze Dr, Olive Branch, MS 38654 Phone: 901-268-9759 | |
Holly Johnson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2268 Ross Rd, Olive Branch, MS 38654 Phone: 662-808-2680 Fax: 662-895-0566 | |
Blake Jordan Falconello, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6542 Goodman Rd Ste 101, Olive Branch, MS 38654 Phone: 662-874-5964 Fax: 662-874-5176 |