Provider Demographics
NPI:1073078895
Name:ALBERS, LOGAN SCOTT (DPT)
Entity Type:Individual
Prefix:
First Name:LOGAN
Middle Name:SCOTT
Last Name:ALBERS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 SCHWIETERMAN ST
Mailing Address - Street 2:
Mailing Address - City:MINSTER
Mailing Address - State:OH
Mailing Address - Zip Code:45865-8729
Mailing Address - Country:US
Mailing Address - Phone:419-628-6920
Mailing Address - Fax:419-628-8028
Practice Address - Street 1:150 SCHWIETERMAN ST
Practice Address - Street 2:
Practice Address - City:MINSTER
Practice Address - State:OH
Practice Address - Zip Code:45865-8729
Practice Address - Country:US
Practice Address - Phone:419-628-6920
Practice Address - Fax:419-628-8028
Is Sole Proprietor?:No
Enumeration Date:2019-02-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT017871225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist