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LOGAN TUTTON FULK
NPI 1265139380
Prosthetist in Grayling, MI

Active since February 09, 2023
1680 HARTWICK PINES RD, GRAYLING, MI 49738(989) 344-2002 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Logan Tutton Fulk NPPES

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

LOGAN TUTTON FULK (NPI 1265139380) is an individual prosthetist provider in Grayling, Michigan and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1265139380
Entity TypeIndividualMale
Primary Taxonomy224P00000X
Provider Legal NameLOGAN TUTTON FULK
Location Address1680 HARTWICK PINES RDGrayling, MI 49738-9237
Mailing Address5200 Huntington DrMidland, MI 48640-2197
Phone(989) 344-2002
Sole ProprietorNo
Enumeration DateFebruary 9, 2023
NPPES CertifiedFebruary 9, 2023
✔ NPI 1265139380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
1680 HARTWICK PINES RD, Grayling, MI 49738
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Other Providers at the Same Location NPPES 5

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

REBECCA L PORTA LCSW
Social Worker (Clinical)
1680 HARTWICK PINES RD
GRAYLING, MI 49738
Crawford County (989) 344-2002
STEPHANIE KOLO PA-C
Physician Assistant
1680 HARTWICK PINES RD
GRAYLING, MI 49738
Crawford County (989) 302-2002
KELLY K WAITE LCSW
Social Worker (Clinical)
1680 HARTWICK PINES RD
GRAYLING, MI 49738
Crawford County (989) 344-2002
SAGINAW VAMC
Clinic/Center (VA)
1680 HARTWICK PINES RD
GRAYLING, MI 49738
Crawford County (608) 821-7200
MRS. CARRIE FRANCES SIMS FNP-C
Registered Nurse
1680 HARTWICK PINES RD
GRAYLING, MI 49738
Crawford County (989) 344-2002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Fulk's NPI number?

The NPI number for Logan Fulk is 1265139380. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Where is Logan Fulk located?

Logan Fulk practices at 1680 Hartwick Pines Rd, Grayling, MI 49738. The listed phone number is (989) 344-2002.

What is Logan Fulk's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Logan Fulk was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.