Logan Decker
Logan Decker is a Physical Therapist in Private Practice in Foster, Kentucky. Qualified in 2023, 3 years ago. Practices with Greenville Proaxis Therapy LLC, a 222-clinician group and accepts Medicare assignment.
- Years since qualifying
- 3
- In the registry since
- 2017
Practice location Address checks out
274 Jara LnFoster, KY 41043-8816
Phone: (859) 757-3317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1710415641 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 23, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 274 Jara Ln, Foster, KY 41043-8816 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Greenville Proaxis Therapy Llc — 222 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |