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NPI Code Detail

MEDICARE: LOGAN DEMPSEY ROBINSON LMT

MEDICARE:   LOGAN DEMPSEY ROBINSON  LMT
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
1225700000XMassage Therapist7501016868MI

General Provider Information

NPI Number : 1629849229
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOGAN DEMPSEY ROBINSON LMT
Provider Business Mailing Address
First Line : 5813 E SAGINAW HWY
Second Line :
City : GRAND LEDGE
State : MI
Zip : 48837-9110
Country : US
Telephone Number : 517-261-9014
Fax Number : 517-999-3472
Provider Business Practice Location Address
First Line : 5813 E SAGINAW HWY
Second Line :
City : GRAND LEDGE
State : MI
Zip : 48837-9110
Country : US
Telephone Number : 517-261-9014
Fax Number : 517-999-3472
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2024
Last Update Date : 03/05/2026

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Directions to “ LOGAN DEMPSEY ROBINSON LMT” Practice Location

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