Provider Demographics
NPI:1629379755
Name:NOTARTOMASO, MEGHAN CHRISTINE (SCN)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:CHRISTINE
Last Name:NOTARTOMASO
Suffix:
Gender:F
Credentials:SCN
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:HALCHAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:399 PERRY ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-4007
Mailing Address - Country:US
Mailing Address - Phone:720-815-6692
Mailing Address - Fax:720-360-0264
Practice Address - Street 1:399 PERRY ST STE 200
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-4007
Practice Address - Country:US
Practice Address - Phone:720-815-6692
Practice Address - Fax:720-360-0264
Is Sole Proprietor?:No
Enumeration Date:2010-11-05
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00116912251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic