Provider Demographics
NPI:1134958564
Name:MEYER, MEGAN RIO (LMT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:RIO
Last Name:MEYER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2224 ROBIN DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-1828
Mailing Address - Country:US
Mailing Address - Phone:520-861-1952
Mailing Address - Fax:
Practice Address - Street 1:1880 OFFICE CLUB PT STE 301
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-5020
Practice Address - Country:US
Practice Address - Phone:719-212-1336
Practice Address - Fax:719-867-5771
Is Sole Proprietor?:No
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29628225700000X
CO0026629225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist