Provider Demographics
NPI:1548243405
Name:YOUNT, MEGAN GILLESPIE (PT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:GILLESPIE
Last Name:YOUNT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:KATHLEEN
Other - Last Name:GILLESPIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:730 NW GILMAN BLVD STE C108
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-5326
Mailing Address - Country:US
Mailing Address - Phone:425-391-6794
Mailing Address - Fax:425-391-1525
Practice Address - Street 1:730 NW GILMAN BLVD STE C108
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5326
Practice Address - Country:US
Practice Address - Phone:425-391-6794
Practice Address - Fax:425-391-1525
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00007676225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8333437Medicaid
WA8333437Medicaid