Jody Logar, MPT

Individual provider Active NPI Physical Therapist · Thomas, WV

NPI 1508050329 · NPPES record last updated Sep 5, 2007

Key facts

NPI
1508050329
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
002147 (WV)
Practice address
HC 60 Box 98
Thomas, WV 26292-9704
Phone
(304) 463-4181
Fax
(304) 463-4190
NPI assigned
Sep 5, 2007
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)
No

State licenses

LicenseStateTypeSpecialty
002147WVMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 002147 WV Yes

Addresses

Primary practice location

HC 60 Box 98
Thomas, WV 26292-9704

Mailing address

HC 60 Box 98
Thomas, WV 26292-9704
Phone (304) 463-4181

Other providers in Thomas, WV

All providers in Thomas, WV · Physical Therapist in West Virginia

Sources for this page

Verify at the official NPI Registry.