Individual
MEGGAN OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
140 BLACKSTOCK DR UNIT A, 311 5TH STREET, CRESTED BUTTE, CO 81224-8001
(970) 251-5098
(970) 251-5090
Mailing address
PO BOX 2686, 311 5TH STREET, CRESTED BUTTE, CO 81224-2686
(970) 251-5098
(970) 251-5090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10065
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12349513
CAQH
CO
01
—
524172
MEDICARE PTAN
CO
Enumeration date
02/27/2012
Last updated
09/07/2016
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