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

Individual provider Physical Therapy Assistant · NPI 1346061116

Logan Bush, PTA is a Physical Therapy Assistant in Oklahoma City, Oklahoma. Practices as a sole proprietor and works from 2 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2024
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

9210 S Western Ave Ste 27
Oklahoma City, OK 73139-2734
Phone: (405) 692-6333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1634 Sw 122nd St, Oklahoma City, OK 73170-4859 — (405) 692-2366

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3857 (OK)

Record details

NPI number1346061116
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 23, 2024
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

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