Kristine Margaret Logan, P.T.

Individual provider Active NPI Physical Therapist · Colstrip, MT

NPI 1063681997 · NPPES record last updated Oct 23, 2015

Key facts

NPI
1063681997
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1409 (MT)
Practice address
6230 Main Street
Colstrip, MT 59323-1858
Phone
(406) 748-3600
Fax
(406) 748-3606
NPI assigned
Feb 25, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1409MTMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1409 MT Yes

Addresses

Primary practice location

6230 Main Street
Colstrip, MT 59323-1858

Mailing address

6230 Main Street
Colstrip, MT 59323-1858
Phone (406) 748-3600

Other providers in Colstrip, MT

All providers in Colstrip, MT · Physical Therapist in Montana

Sources for this page

Verify at the official NPI Registry.