Logan Howard Daniel Latvis, PTA
Logan Howard Daniel Latvis, PTA is a Physical Therapy Assistant in Fort Defiance, Arizona. Licensed in Arizona, Indiana, Michigan and Wisconsin. Registered with an NPI since 2024.
- Licensed in
- AZ, IN, MI, WI
- In the registry since
- 2024
- Specialties on file
- 4
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
Corner Of Rte 12 And Rte 7Fort Defiance, AZ 86504
Phone: (928) 729-8000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence CP033283A (AZ) |
|---|---|
| Physical Therapy Assistant | Taxonomy 225200000X · Licence 4159-19 (WI) |
| Physical Therapy Assistant | Taxonomy 225200000X · Licence 5502008461 (MI) |
| Physical Therapy Assistant | Taxonomy 225200000X · Licence 06006862A (IN) |
Record details
| NPI number | 1447082789 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PTA |
| Sole proprietor | No |
| NPI enumerated | August 15, 2024 |
| Last updated in NPPES | August 15, 2024 |
| Certification date | August 14, 2024 |
| Mailing address | 2014 Ridge Ave, Mass City, MI 49948-5107 |
Other providers in Fort Defiance
-
Teresa Rodriguez, PTA
Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 · (928) 729-8132