Individual provider · Type 1 NPI

Logan Raichle

Physical Therapist · Southport, NC

NPI number 1104609148 Active

Practice location

5013 Southport Crossing Way Ste 204
Southport, NC 28461-2206

Call (910) 604-9550 Map

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XP22638 (NC)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1104609148

Logan Raichle's National Provider Identifier is 1104609148, issued on Aug 15, 2023. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Southport, NC. The record was last updated on Aug 14, 2026.