Provider Demographics
NPI:1114387263
Name:SYMES, MEGAN SUE (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:SUE
Last Name:SYMES
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 WHITNEY RANCH DR APT 1311
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2628
Mailing Address - Country:US
Mailing Address - Phone:702-343-2079
Mailing Address - Fax:
Practice Address - Street 1:625 WHITNEY RANCH DR APT 1311
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2628
Practice Address - Country:US
Practice Address - Phone:702-343-2079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV05062972255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer