Provider Demographics
NPI:1184909350
Name:MEEK, PAIGE MARIE AUTUMN (LMT)
Entity type:Individual
Prefix:MS
First Name:PAIGE
Middle Name:MARIE AUTUMN
Last Name:MEEK
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MISS
Other - First Name:PAIGE
Other - Middle Name:MARIE AUTUMN
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:7006 CHURCHILL DOWNS DR
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-8016
Mailing Address - Country:US
Mailing Address - Phone:614-783-2004
Mailing Address - Fax:
Practice Address - Street 1:5577 N HIGH ST STE B
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-3939
Practice Address - Country:US
Practice Address - Phone:614-400-4301
Practice Address - Fax:513-823-4194
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.017440225700000X, 225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist