IndividualActive
Susan Logan
NPI 1740017227 · Health & Wellness Coach · Knoxville, TN
Provider details
- NPI number
- 1740017227
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
11600 Boston Ivy Ln
Knoxville, TN 37932-1005
Phone: (989) 430-2025
Approximate (ZIP-level) locationGet directions
Mailing address
20500 Belshaw Ave # Exca1377
Carson, CA 90746-3506
Registry dates
- Enumerated
- 2024-09-18
- Last updated
- 2024-09-18
- Certified
- 2024-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.