Provider Demographics
NPI:1902230303
Name:DANZL, MEGAN (PT, PHD, NCS)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:DANZL
Suffix:
Gender:F
Credentials:PT, PHD, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 NEWBURG RD # ALLEN368
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-1863
Mailing Address - Country:US
Mailing Address - Phone:502-272-7368
Mailing Address - Fax:
Practice Address - Street 1:2001 NEWBURG RD # ALLEN368
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-1863
Practice Address - Country:US
Practice Address - Phone:502-272-7368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY49042251N0400X
IN05008894A2251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology