Provider Demographics
NPI:1437855483
Name:MEG'S MOBILE PT
Entity Type:Organization
Organization Name:MEG'S MOBILE PT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:RAYMER-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:419-681-4362
Mailing Address - Street 1:401 4TH ST # 1544
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-9998
Mailing Address - Country:US
Mailing Address - Phone:419-681-4362
Mailing Address - Fax:
Practice Address - Street 1:401 4TH ST # 1544
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-9998
Practice Address - Country:US
Practice Address - Phone:419-681-4362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy