Individual
MEGGI DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
609 N CALGARY CT STE 2, POST FALLS, ID 83854-4906
(208) 457-3435
Mailing address
2065 W RIVERSTONE DR STE 101, COEUR D ALENE, ID 83814-5699
(208) 667-1988
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
60872085
WA
2251X0800X
Orthopedic Physical Therapist
Primary
PT-8492
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548740624
—
WA
Enumeration date
08/17/2018
Last updated
09/26/2024
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