Provider Demographics
NPI:1568927275
Name:DEVOL, MEGAN FAITH (MS, ATC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:FAITH
Last Name:DEVOL
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 FAIRGROUND ST
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43724-1107
Mailing Address - Country:US
Mailing Address - Phone:740-624-9210
Mailing Address - Fax:
Practice Address - Street 1:311 S 15TH ST LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-1875
Practice Address - Country:US
Practice Address - Phone:740-623-4069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-06
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH390200000X
OHAT0060712255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program