Provider Demographics
NPI:1184342677
Name:EYRE, MEGAN RACHELLE (PT, DPT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:RACHELLE
Last Name:EYRE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5350 W NEW MARKET RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-7722
Mailing Address - Country:US
Mailing Address - Phone:937-393-1904
Mailing Address - Fax:
Practice Address - Street 1:5350 W NEW MARKET RD
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-7722
Practice Address - Country:US
Practice Address - Phone:937-393-1904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT020027261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy