SearchGeorgia235Z00000X

Logan Manning

NPI 1437030178 · on the registry since 2025

Practice

Address
536 Grand Slam Dr Ste D
Evans, GA 30809
Phone
(706) 842-3330
Organisation at this address
Kidnetic Energy,Inc
Therapy Trails Of Evans
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-09

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 Georgia