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Logan Bush, PTA
NPI 1346061116 · on the registry since 2024 · sole proprietor
Practice
- Address
- 9210 S Western Ave Ste 27
Oklahoma City, OK 73139 - Phone
- (405) 692-6333
- Organisation at this address
- Genesi Llc
Gold Team Llc
Tasel Health Llc
Dungarvin Oklahoma Llc
Dungarvin Oklahoma LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Additional practice sites
- 1634 Sw 122nd St, Oklahoma City, OK
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-23
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 Oklahoma