Logan Pluckebaum, IP
Logan Pluckebaum, IP is a Developmental Therapist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2025
Practice location Address checks out
7557 W Ustick RdBoise, ID 83704-5810
Phone: (208) 890-4405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X (ID) |
|---|
Record details
| NPI number | 1649158718 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | IP |
| Sole proprietor | Yes |
| NPI enumerated | August 26, 2025 |
| Last updated in NPPES | August 26, 2025 |
| Certification date | August 25, 2025 |
| Mailing address | 443 E Hearthstone Dr, Boise, ID 83702-1727 |
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