Provider Demographics
NPI:1568610269
Name:FRANKS, MEGAN ANNETTE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ANNETTE
Last Name:FRANKS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 43RD AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-8401
Mailing Address - Country:US
Mailing Address - Phone:309-743-2070
Mailing Address - Fax:309-743-2073
Practice Address - Street 1:555 CAMERON WAY UNIT 1
Practice Address - Street 2:
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-4704
Practice Address - Country:US
Practice Address - Phone:319-665-2555
Practice Address - Fax:319-665-2570
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35807225100000X
CO10039225100000X
IA086697225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist