Provider Demographics
NPI:1376676999
Name:ASHEAD, MEGAN MAE (PT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:MAE
Last Name:ASHEAD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9105 CHERRY BLOSSOM DR
Mailing Address - Street 2:MARS
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-4239
Mailing Address - Country:US
Mailing Address - Phone:757-618-6817
Mailing Address - Fax:
Practice Address - Street 1:1000 MASONIC DR
Practice Address - Street 2:SEWICKLEY
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-2328
Practice Address - Country:US
Practice Address - Phone:412-259-5060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018104225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist