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

Individual provider Physical Therapy Assistant · NPI 1649903683

Logan M Reeves, PTA is a Physical Therapy Assistant in Herrin, Illinois. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
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

510 Lincoln Dr
Herrin, IL 62948-6334
Phone: (618) 997-6800
Fax: (618) 997-1187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 374 E Grand Ave, Carbondale, IL 62901-3962 — (618) 997-6800

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1649903683
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 7, 2022
Last updated in NPPESJuly 7, 2022
Certification dateJuly 7, 2022
Mailing address510 Lincoln Dr, Herrin, IL 62948-6334

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