Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth Geratd Logan, PTA

Individual provider Physical Therapy Assistant · NPI 1144917345

Kenneth Geratd Logan, PTA is a Physical Therapy Assistant in Henderson, Nevada. Practices as a sole proprietor. Licensed in California and Nevada.

Licensed in
CA, NV
In the registry since
2023
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

100 Del Mar Gardens Dr
Henderson, NV 89074
Phone: (702) 361-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A-1452 (NV)
Physical Therapy Assistant Taxonomy 225200000X · Licence 51576 (CA)

Record details

NPI number1144917345
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 19, 2023
Last updated in NPPESApril 19, 2023
Certification dateApril 12, 2023
Mailing address9850 S. Maryland Pkwy Pmb 358, Suite A5, Las Vegas, NV 89183

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