Provider Demographics
NPI:1073043295
Name:GILES, MEGAN K
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:K
Last Name:GILES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 BUFFALO RUN
Mailing Address - Street 2:
Mailing Address - City:THAXTON
Mailing Address - State:VA
Mailing Address - Zip Code:24174-3574
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1203 ROUNDTREE DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523-2431
Practice Address - Country:US
Practice Address - Phone:540-586-5982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant