Provider Demographics
NPI:1407638018
Name:RONALD, MEGAN ALECIA (LMT)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:ALECIA
Last Name:RONALD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:ALECIA
Other - Last Name:BEVERLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:1628 FILMORE ST
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-2004
Mailing Address - Country:US
Mailing Address - Phone:412-944-7244
Mailing Address - Fax:
Practice Address - Street 1:1628 FILMORE ST
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-2004
Practice Address - Country:US
Practice Address - Phone:412-944-7244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG004111225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist