Logan Michael Richard
Logan Michael Richard is a Physical Therapist in Private Practice in Le Mars, Iowa. Qualified in 2022, 4 years ago. Practices with Le Mars Physical Therapy, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa.
- Years since qualifying
- 4
- Licensed in
- IA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
789 Holton DrLe Mars, IA 51031-3757
Phone: (712) 546-1718
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 4230 Hickory Ln Apt 124, Sioux City, IA 51106-4605 — (712) 369-3057
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 112660 (IA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1265195606 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 21, 2021 |
| Last updated in NPPES | June 9, 2022 |
| Certification date | June 9, 2022 |
| Mailing address | 646 11th St Sw Unit B1, Le Mars, IA 51031-2562 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Le Mars Physical Therapy — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |