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

Logan Thomas Richardson, PT

Individual provider Physical Therapist · NPI 1124372404

Logan Thomas Richardson, PT is a Physical Therapist in Corvallis, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

996 NW Circle Blvd Ste 101
Corvallis, OR 97330-1485
Phone: (541) 757-0878
Fax: (541) 757-0879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 06993 (OR)

Record details

NPI number1124372404
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 7, 2012
Last updated in NPPESFebruary 18, 2013

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