IndividualActive
Amber Logan, DPT
NPI 1235865171 · Physical Therapist · Shiprock, NM
Provider details
- NPI number
- 1235865171
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT6105 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
US-491
Shiprock, NM 87420
Phone: (505) 368-6001
Approximate (ZIP-level) locationGet directions
Mailing address
10 Primrose Ln
Los Alamos, NM 87544-1588
Registry dates
- Enumerated
- 2022-07-25
- Last updated
- 2022-07-25
- Certified
- 2022-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.