Individual
MEGHAN MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, AT, ATC
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
3903 NAPOLEON RD, FREMONT, OH 43420-9747
(419) 552-1427
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018655
OH
2255A2300X
Athletic Trainer
—
OH
Other
Enumeration date
10/01/2016
Last updated
06/11/2020
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