LOGAN TAYLOR RUCK

MILLEDGEVILLE, GA
NPI1912482969
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT003394)
Enumeration Date2018-09-26
Last Update Date2018-09-26
Business Address
LOGAN TAYLOR RUCK ATC, LAT
251 S CLARK ST
MILLEDGEVILLE, GA 31061
Phone number: 478-445-1787
Mailing Address
LOGAN TAYLOR RUCK ATC, LAT
115 HIGHGREEN RDG
PEACHTREE CITY, GA 30269-2259
Phone number: 404-734-8990
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