Individual
MRS. MEGAN RENEE RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LPTA
Contact information
Practice address
801 CR 1560, RUSH SPRINGS, OK 73082
(580) 641-0030
Mailing address
801 CR 1560, RUSH SPRINGS, OK 73082
(580) 641-0030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005
OK
225200000X
Physical Therapy Assistant
2005
OK
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
04/01/2013
Last updated
05/11/2021
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