Provider Demographics
NPI:1164848024
Name:LOUVIER, MEGHANN
Entity Type:Individual
Prefix:
First Name:MEGHANN
Middle Name:
Last Name:LOUVIER
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 1:5348 OLD JACKSONVILLE HWY APT 101
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-3353
Mailing Address - Country:US
Mailing Address - Phone:903-456-3990
Mailing Address - Fax:
Practice Address - Street 1:5348 OLD JACKSONVILLE HWY APT 101
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-3353
Practice Address - Country:US
Practice Address - Phone:903-456-3990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-14
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1210383225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist