Provider Demographics
NPI:1255470316
Name:WRIGHT, MEGAN (LMT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1515 WRIGHT AVE STE C
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354-5007
Mailing Address - Country:US
Mailing Address - Phone:509-531-7836
Mailing Address - Fax:509-578-1192
Practice Address - Street 1:1515 WRIGHT AVE STE C
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99354-5007
Practice Address - Country:US
Practice Address - Phone:509-531-7836
Practice Address - Fax:509-578-1192
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2019-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00018383225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist