Logen M Lahman, PTA
Individual provider Active NPI Physical Therapy Assistant · Laramie, WY
NPI 1891421988 · NPPES record last updated Jul 29, 2022
Key facts
- NPI
- 1891421988
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1074 (WY)
- Practice address
- 503 S 18TH St
Laramie, WY 82070-4391 - Phone
- (307) 742-3728
- NPI assigned
- Jul 29, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1074 | WY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant |
225200000X | 1074 | WY | Yes |
Addresses
Primary practice location
503 S 18TH St
Laramie, WY 82070-4391
Mailing address
1309 Person St
Laramie, WY 82070-5452
Phone (720) 347-9941
Other providers in Laramie, WY
- Brett Kvenild
- Jessie Opal Kysar
- Tonya Lacy
- Devin Lagois
- Kaitlyn Mae Lahman
- Kaleigh Laleman
- Dallas Lamb
- Mindy Renee Lamborn
- Amanda Lamey
- Alanna Landstrom
All providers in Laramie, WY · Physical Therapy Assistant in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.