Provider Demographics
NPI:1598880627
Name:SCHOOLEY, MEGANN GARRETSON (PT, DPT, MTC, CSCS)
Entity Type:Individual
Prefix:DR
First Name:MEGANN
Middle Name:GARRETSON
Last Name:SCHOOLEY
Suffix:
Gender:F
Credentials:PT, DPT, MTC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:591 HAYLEY RD
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-5836
Mailing Address - Country:US
Mailing Address - Phone:904-806-7778
Mailing Address - Fax:
Practice Address - Street 1:252 SOUTHPARK CIR E
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-5137
Practice Address - Country:US
Practice Address - Phone:904-829-3411
Practice Address - Fax:904-829-3412
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT16196225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist