LOGAN ADKISSON

COOKEVILLE, TN
NPI1730842618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  7874)
Enumeration Date2021-10-18
Last Update Date2021-10-18
Business Address
LOGAN ADKISSON PTA
815 S WALNUT AVE
COOKEVILLE, TN 38501-5956
Phone number: 931-528-5516
Mailing Address
LOGAN ADKISSON PTA
302 E CLEVELAND AVE APT B
MONTEREY, TN 38574-1200
Phone number: 423-215-1060