Provider Demographics
NPI:1003480872
Name:OXLEY, MEILI MICHELLE
Entity Type:Individual
Prefix:
First Name:MEILI
Middle Name:MICHELLE
Last Name:OXLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEILI
Other - Middle Name:MICHELLE
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:350 NEW FIDELITY CT
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-2665
Mailing Address - Country:US
Mailing Address - Phone:919-258-2714
Mailing Address - Fax:
Practice Address - Street 1:2024 OLDE REGENT WAY STE 130
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-4250
Practice Address - Country:US
Practice Address - Phone:910-302-3330
Practice Address - Fax:910-765-7722
Is Sole Proprietor?:No
Enumeration Date:2021-05-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP20413225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist