Logan James Donaldson, DC

Individual provider Active NPI Rehabilitation Chiropractor · Nolensville, TN

NPI 1295522563 · NPPES record last updated Jul 29, 2026

Key facts

NPI
1295522563
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Chiropractor 111NR0400X
License
CHR.0008916 (CO)
Practice address
7175 Nolensville Rd Ste 208
Nolensville, TN 37135-9656
Phone
(970) 292-7316
NPI assigned
Apr 21, 2025
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CHR.0008916COMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Form Theory LLC Rehabilitation Current
since Sep 28, 2025
Accepting new patients

Locations

312A Wilson Pike Cir
Brentwood, TN 37027
Phone (615) 499-5453

116 Agnes Rd
Ste 200
Knoxville, TN 37919
Phone (270) 246-0319

7175 Nolensville Rd
Ste 208
Nolensville, TN 37135

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X CHR.0008916 CO Yes

Addresses

Primary practice location

7175 Nolensville Rd Ste 208
Nolensville, TN 37135-9656

Mailing address

116 Agnes Rd Ste 200
Knoxville, TN 37919-6306

Other providers in Nolensville, TN

All providers in Nolensville, TN · Rehabilitation Chiropractor in Tennessee

Sources for this page

Verify at the official NPI Registry.