Individual
MEAGAN DENISE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
650 N STATE ST STE 5, SHELLEY, ID 83274-4900
(208) 428-6079
(208) 209-6079
Mailing address
650 N STATE ST STE 5, SHELLEY, ID 83274-4900
(208) 428-6079
(208) 209-6079
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
041660-1
NY
225100000X
Physical Therapist
P21111
NC
225100000X
Physical Therapist
PT60401857
WA
2251P0200X
Pediatric Physical Therapist
Primary
8161078
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0316221
DEPT. OF LABOR AND INDUSTRIES
WA
05
—
1831523521
—
WA
Enumeration date
08/29/2013
Last updated
01/08/2026
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