Provider Demographics
NPI:1013047075
Name:MERROW, ROBERT LEWIS JR (ATC, NHLAT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LEWIS
Last Name:MERROW
Suffix:JR
Gender:M
Credentials:ATC, NHLAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CRESTVIEW ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-2606
Mailing Address - Country:US
Mailing Address - Phone:603-358-2824
Mailing Address - Fax:
Practice Address - Street 1:229 MAIN ST
Practice Address - Street 2:KEENE STATE COLLEGE
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03435-2375
Practice Address - Country:US
Practice Address - Phone:603-358-2824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH172255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer