Logan Wais, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA109511 Issued in FL

Practice address

135 Robinwood Dr NW
Fort Walton Beach, FL 32548-4363

Phone

(850) 496-0565

NPI assigned

Jun 16, 2026

Last updated

Jun 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1184559460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 ROBINWOOD DR NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484363",
            "telephone_number": "850-496-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 ROBINWOOD DR NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484363",
            "telephone_number": "850-496-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIS",
        "first_name": "LOGAN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA109511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.