Provider Demographics
NPI:1124704606
Name:SMRT, MEGHAN LYNN (DPT)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:LYNN
Last Name:SMRT
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:LYNN
Other - Last Name:KINDEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2001 BUTTERFIELD RD STE 1600
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1211
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:29822 N CAVE CREEK RD STE 101
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-2015
Practice Address - Country:US
Practice Address - Phone:480-281-0258
Practice Address - Fax:480-885-1787
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
SC225100000X
AZ225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist