SHANNON RAYE LOGUE
NPI 1134920218
Rehabilitation Practitioner in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Rehabilitation Practitioner with taxonomy code 225400000X.

Active since March 24, 2025

PO BOX 710145, SAN DIEGO, CA 92171(619) 346-4020 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Shannon Raye Logue NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON RAYE LOGUE (NPI 1134920218) is an individual rehabilitation practitioner in San Diego, California and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1134920218

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NameSHANNON RAYE LOGUE

Location AddressPO BOX 710145San Diego, CA 92171-0145

Mailing AddressPo Box 710145San Diego, CA 92171-0145 · (619) 346-4020

Phone(619) 346-4020

Sole ProprietorYes

Enumeration DateMarch 24, 2025

Last NPPES UpdateJune 25, 2026

NPPES CertifiedJune 25, 2026

✔ NPI 1134920218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

PO BOX 710145, San Diego, CA 92171

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SELENA COLLINS

Social Worker (Clinical)