Provider Demographics
NPI:1790288603
Name:KERNS, MEGAN ANN (ATC)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:ANN
Last Name:KERNS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ANN
Other - Last Name:SCHATZLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2325 ANDERSON RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-3821
Mailing Address - Country:US
Mailing Address - Phone:989-573-4614
Mailing Address - Fax:
Practice Address - Street 1:1 DRAGON DR
Practice Address - Street 2:
Practice Address - City:SWARTZ CREEK
Practice Address - State:MI
Practice Address - Zip Code:48473-1265
Practice Address - Country:US
Practice Address - Phone:989-573-4614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-16
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI26010015802255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer