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

Logan Broache

Individual provider Physical Therapy Assistant · NPI 1790511087

Logan Broache is a Physical Therapy Assistant in Mechanicsville, Virginia. Licensed in Virginia. Registered with an NPI since 2024.

Licensed in
VA
In the registry since
2024

Practice location Address checks out

7600 Autumn Park Way
Mechanicsville, VA 23116-3868
Phone: (804) 730-0009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306606622 (VA)

Record details

NPI number1790511087
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 12, 2024
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address9499 Andrew Wickham Ln, Ashland, VA 23005-7666

Other providers in Mechanicsville