Individual provider · Type 1 NPI
Logan Marie Ketchum, DC
Chiropractor · Mattawan, MI
NPI number
1639643117
Active
Practice location
24285 Red Arrow Hwy Ste A
Mattawan, MI 49071-7700
Other practice locations
- 8175 Creekside Dr Ste 110, Portage, MI 49024-5370 · (269) 324-5000
- 7901 S 12th St Ste 201, Portage, MI 49024-3831 · (269) 324-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2301010763 (MI) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
Other chiropractor providers in Mattawan
About NPI 1639643117
Logan Marie Ketchum, DC's National Provider Identifier is 1639643117, issued on Jan 17, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Mattawan, MI. The record was last updated on Apr 14, 2022.