Provider Demographics
NPI:1477971554
Name:STOVALL, MEGAN MEYER (PT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:MEYER
Last Name:STOVALL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9550 HIGHWAY 412 W STE A
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38351-5850
Mailing Address - Country:US
Mailing Address - Phone:731-967-3224
Mailing Address - Fax:731-967-3305
Practice Address - Street 1:9550 HIGHWAY 412 W STE A
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:TN
Practice Address - Zip Code:38351-5850
Practice Address - Country:US
Practice Address - Phone:731-967-3224
Practice Address - Fax:731-967-3305
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9323225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist