Logan Wais, LMT Valid NPI

Individual provider · Massage Therapist · Fort Walton Beach, FL

NPI

1184559460

Type

Individual (Type 1)

Primary specialty

Massage Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225700000X

License number

MA109511 (FL)

Sex

Male

Sole proprietor

Yes

Enumerated

2026-06-16

Last updated

2026-06-16