LOGAN PLUCKEBAUM IP
NPI 1649158718
Developmental Therapist in Boise, ID
About Logan Pluckebaum Ip NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOGAN PLUCKEBAUM IP (NPI 1649158718) is an individual developmental therapist in Boise, Idaho and active in the NPI registry since August 2025.
NPPES Registry Identity
Specialties & Licenses
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 Pluckebaum's NPI number?
The NPI number for Logan Pluckebaum is 1649158718. It was assigned to this individual provider in the NPPES registry on August 26, 2025.
Where is Logan Pluckebaum located?
Logan Pluckebaum practices at 7557 W Ustick Rd, Boise, ID 83704. The listed phone number is (208) 890-4405.
What is Logan Pluckebaum's specialty?
The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.
When was this NPI record last updated?
The NPPES record for Logan Pluckebaum was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.