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

Logan Dishawn Mathus, PTT

Individual provider Military Health Care Provider · NPI 1952146987

Logan Dishawn Mathus, PTT is a Military Health Care Provider in Fort Meade, Maryland. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2480 Llewellyn Ave
Fort Meade, MD 20755-7081
Phone: (301) 677-8796
Show map & directions

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

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X

Record details

NPI number1952146987
Entity typeIndividual (Type 1)
GenderMale
Credentials PTT
Sole proprietorNo
NPI enumeratedJuly 1, 2024
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024
Mailing address4755 English Ave Unit G2, Fort George G Meade, MD 20755-2177

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