Search › Michigan › 106S00000X
Ally Logan
NPI 1437751559 · on the registry since 2020
Practice
- Address
- 777 Goguac St W Ste B2
Springfield, MI 49015 - Phone
- (269) 223-7786
- Fax
- (269) 962-9569
- Organisation at this address
- Functional Kids Therapy Center Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 235Z00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-11
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 Michigan