DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: HALEY LOGAN PT, DPT

MEDICARE: HALEY LOGAN PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2305217131VA

General Provider Information

NPI Number : 1801789821
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY LOGAN PT, DPT
Provider Business Mailing Address
First Line : 1288 COTTONTOWN MANOR DR APT 303
Second Line :
City : FOREST
State : VA
Zip : 24551-2570
Country : US
Telephone Number : 301-751-0874
Fax Number :
Provider Business Practice Location Address
First Line : 1040 GABLES DR STE 101
Second Line :
City : FOREST
State : VA
Zip : 24551-4996
Country : US
Telephone Number : 804-508-6499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2025
Last Update Date : 05/29/2025

Similar Medicare Providers

1003758962 — LYNDSAY GREEN
Practice Location Address:
1040 GABLES DR STE 101
FOREST, VA
24551-4996
Practice Phone: 804-508-6499
Practice Fax:
1104768993 — KATELEN GARRAGHTY
Practice Location Address:
1040 GABLES DR STE 101
FOREST, VA
24551-4996
Practice Phone: 804-508-6499
Practice Fax:
1902438625 — CIERRA N CALLOWAY OTR/L
Practice Location Address:
1040 GABLES DR
FOREST, VA
24551-4996
Practice Phone: 804-508-6499
Practice Fax:
1588552293 — DANA ASHLEY STEVENS
Practice Location Address:
1040 GABLES DR STE 101
FOREST, VA
24551-4996
Practice Phone: 804-508-6499
Practice Fax:
1558240390 — JOSHUA SCOTT BOMAR OTR/L
Practice Location Address:
1040 GABLES DR STE 101
FOREST, VA
24551-4996
Practice Phone: 804-508-6499
Practice Fax:
1902778285 — KHAYLA PENNIX
Practice Location Address:
1040 GABLES DR
FOREST, VA
24551-4996
Practice Phone: 804-508-6499
Practice Fax: 804-324-2998

Directions to “ HALEY LOGAN PT, DPT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.