| Logan Bailey, | |
| 
					851 S Clinton St, Defiance, OH 43512-2770  | |
| (419) 785-4415 | |
| Not Available | 
| Full Name | Logan Bailey | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 851 S Clinton St, Defiance, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275260846 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary | 
| Provider Name | Defiance Physical Therapy And Sports Medicine, Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1023458270 PECOS PAC ID: 2466696380 Enrollment ID: O20130916000524  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Logan Bailey, 851 S Clinton St, Defiance, OH 43512-2770 Ph: (419) 785-4415  | Logan Bailey, 851 S Clinton St, Defiance, OH 43512-2770 Ph: (419) 785-4415  | 
Defiance Physical Therapy And Sports Medicine, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 201 E 2nd St, Defiance, OH 43512 Phone: 419-575-0281  | |
Megan Elizabeth Vogelsong, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 851 S Clinton St, Defiance, OH 43512 Phone: 419-785-4415  | |
Ms. Brenda J Keck, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-784-1414 Fax: 419-783-3269  | |
Kristiane Grime, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-783-3309  | |
Mrs. Renae Helen Schlachter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 851 S Clinton St, Defiance, OH 43512 Phone: 419-782-8808 Fax: 419-782-8148  | |
Ryan C Crandall, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 851 S Clinton St, Defiance, OH 43512 Phone: 419-782-8808 Fax: 419-782-8148  |