Individual provider · Type 1 NPI

Kenneth Geratd Logan, PTA

Physical Therapy Assistant · Henderson, NV

NPI number 1144917345 Active

Practice location

100 Del Mar Gardens Drive
Henderson, NV 89074

Mailing address

9850 S. Maryland Pkwy Pmb 358, Suite A5
Las Vegas, NV 89183

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA-1452 (NV)
Physical Therapy Assistant 225200000X51576 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1144917345

Kenneth Geratd Logan, PTA's National Provider Identifier is 1144917345, issued on Apr 19, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Henderson, NV. The record was last updated on Apr 19, 2023.