Provider Demographics
NPI:1891009353
Name:FORSEE, MEGAN DANIELLE (PT)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:DANIELLE
Last Name:FORSEE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:DANIELLE
Other - Last Name:WAINSCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:3301 BERRYWOOD DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-6517
Mailing Address - Country:US
Mailing Address - Phone:573-449-6082
Mailing Address - Fax:573-449-0401
Practice Address - Street 1:1238 REMINGTON DR
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:MO
Practice Address - Zip Code:65240-1486
Practice Address - Country:US
Practice Address - Phone:573-682-2230
Practice Address - Fax:573-682-9580
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010024371225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist