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Individual

MEGAN DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11128
TN
225700000X
Massage Therapist
00020864
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00020864
STATE LICENSE NUMBER
WA
01
0210141
DEPT OF LABOR & INDUSTRY
WA
01
11128
STATE LICENSE NUMBER
TN
01
63604
STATE LICENSE NUMBER
OR
Enumeration date
02/14/2007
Last updated
11/16/2022
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