Provider Demographics
NPI:1346593803
Name:MEEKER, BRIAN (MPT)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:MEEKER
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1847 STATE ROUTE 29 HWY
Mailing Address - Street 2:
Mailing Address - City:HUNLOCK CREEK
Mailing Address - State:PA
Mailing Address - Zip Code:18621-4220
Mailing Address - Country:US
Mailing Address - Phone:570-574-4587
Mailing Address - Fax:
Practice Address - Street 1:1847 STATE ROUTE 29 HWY
Practice Address - Street 2:
Practice Address - City:HUNLOCK CREEK
Practice Address - State:PA
Practice Address - Zip Code:18621-4220
Practice Address - Country:US
Practice Address - Phone:570-574-4587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-22
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT010866L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PANAOtherNA