Provider Demographics
NPI:1033103031
Name:LIGGETT, MEGAN CHRISTINA (MPT)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:CHRISTINA
Last Name:LIGGETT
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MRS
Other - First Name:MEGAN
Other - Middle Name:CHRISTINA
Other - Last Name:GOODLANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:210 SE PIONEER WAY
Mailing Address - Street 2:STE 2
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-5705
Mailing Address - Country:US
Mailing Address - Phone:360-279-8715
Mailing Address - Fax:360-679-8554
Practice Address - Street 1:210 SE PIONEER WAY
Practice Address - Street 2:SUITE 2
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-5705
Practice Address - Country:US
Practice Address - Phone:360-679-8600
Practice Address - Fax:360-679-8554
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-06
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00009675225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8853491Medicare ID - Type Unspecified