Individual provider · Type 1 NPI

Logan Howard Daniel Latvis, PTA

Physical Therapy Assistant · Fort Defiance, AZ

NPI number 1447082789 Active

Practice location

Corner Of Rte 12 And, Rte 7
Fort Defiance, AZ 86504

Mailing address

2014 Ridge Ave
Mass City, MI 49948-5107

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X4159-19 (WI)
Physical Therapy Assistant 225200000X5502008461 (MI)
Physical Therapy Assistant 225200000X06006862A (IN)
Physical Therapy Assistant Primary 225200000XCP033283A (AZ)

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 …

2 other providers at this address

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About NPI 1447082789

Logan Howard Daniel Latvis, PTA's National Provider Identifier is 1447082789, issued on Aug 15, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Defiance, AZ. The record was last updated on Aug 15, 2024.