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

Mrs. Suzanne E Logan, PTA

Individual provider Physical Therapy Assistant · NPI 1629333554

Mrs. Suzanne E Logan, PTA is a Physical Therapy Assistant in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
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

2300 N Edward St
Decatur, IL 62526-4163
Phone: (217) 876-2690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160002521 (IL)

Record details

NPI number1629333554
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 6, 2012
Last updated in NPPESJuly 6, 2012
Mailing address2300 N Edward St, Decatur, IL 62526-4163

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