SearchVirginia225100000X

Logan Russell, PT, DPT

NPI 1407472517 · on the registry since 2020

Practice

Address
3656 Peters Creek Road Ext Sw # B
Roanoke, VA 24018
Phone
(540) 798-1579

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia