Provider Demographics
NPI:1851724702
Name:BARCLAY, MEGHAN JACQUELINE (DPT)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:JACQUELINE
Last Name:BARCLAY
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 1:443 LYNN HAVEN LN
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-1808
Mailing Address - Country:US
Mailing Address - Phone:314-395-9303
Mailing Address - Fax:314-395-9301
Practice Address - Street 1:443 LYNN HAVEN LN
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-1808
Practice Address - Country:US
Practice Address - Phone:314-395-9303
Practice Address - Fax:314-395-9301
Is Sole Proprietor?:No
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013028471225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist