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1730842618
LOGAN ADKISSON
COOKEVILLE, TN
NPI
1730842618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 7874)
Enumeration Date
2021-10-18
Last Update Date
2021-10-18
Business Address
LOGAN ADKISSON PTA
815 S WALNUT AVE
COOKEVILLE, TN 38501-5956
Phone number: 931-528-5516
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Mailing Address
LOGAN ADKISSON PTA
302 E CLEVELAND AVE APT B
MONTEREY, TN 38574-1200
Phone number: 423-215-1060
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