Logan Randall Ecklund, PT, DPT

Physical Therapist · Duluth, MN

Individual Active NPI

NPI number 1053063560

Practice location

4609 Grand Ave
Duluth, MN 55807-2749
Phone
(218) 733-3485

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NPI record

NPI
1053063560
Entity type
Individual (Type 1)
Enumeration date
January 25, 2022
Last updated
January 25, 2022
Certified
January 25, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 12519 MN

Mailing address

4142 Meadow Pkwy Apt C
Hermantown, MN 55811-6401
Phone
(218) 348-2523

About Logan Ecklund

Logan Randall Ecklund, PT, DPT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 4609 Grand Ave, Duluth, MN 55807-2749. The NPI number 1053063560 was assigned on January 25, 2022 and the record was last updated on January 25, 2022.

Logan Ecklund lists a license in the registry: #12519 (MN) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Logan Randall Ecklund, PT, DPT?

The NPI number is 1053063560.

What is the phone number of Logan Ecklund?

The phone number listed for the practice location is (218) 733-3485.

Where is Logan Ecklund located?

4609 Grand Ave, Duluth, MN 55807-2749.

What is the taxonomy code for Logan Ecklund?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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