Provider Demographics
NPI:1821362989
Name:POWELL, MAEGAN LOUPE (DPT)
Entity Type:Individual
Prefix:
First Name:MAEGAN
Middle Name:LOUPE
Last Name:POWELL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 7TH AVE S
Mailing Address - Street 2:PT/OT DEPARTMENT
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1711
Mailing Address - Country:US
Mailing Address - Phone:205-558-2483
Mailing Address - Fax:205-939-6067
Practice Address - Street 1:1600 7TH AVE S
Practice Address - Street 2:PT/OT DEPARTMENT
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1711
Practice Address - Country:US
Practice Address - Phone:205-558-2483
Practice Address - Fax:205-939-6067
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH6386225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist