Provider Demographics
NPI:1700287604
Name:WRIGG, MEGAN IRENE (PT, DPT, CSCS)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:IRENE
Last Name:WRIGG
Suffix:
Gender:F
Credentials:PT, DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 N LAST CHANCE GULCH
Mailing Address - Street 2:STE C
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4176
Mailing Address - Country:US
Mailing Address - Phone:406-459-0345
Mailing Address - Fax:
Practice Address - Street 1:1302 PROSPECT AVE
Practice Address - Street 2:SPACE C
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3928
Practice Address - Country:US
Practice Address - Phone:406-502-1900
Practice Address - Fax:406-502-1333
Is Sole Proprietor?:No
Enumeration Date:2014-09-10
Last Update Date:2022-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225600000X
MTPTP-PT-LIC-24142251X0800X
MT2414225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT2414OtherPHYSICAL THERAPY LICENSE