Provider Demographics
NPI:1780980581
Name:MEKETA, ANNE
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:MEKETA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:868 UNION ST
Mailing Address - Street 2:
Mailing Address - City:MILLERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17061-1476
Mailing Address - Country:US
Mailing Address - Phone:717-329-6932
Mailing Address - Fax:
Practice Address - Street 1:500 UNIVERSITY DR, MC A410
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033
Practice Address - Country:US
Practice Address - Phone:800-243-1455
Practice Address - Fax:717-531-7269
Is Sole Proprietor?:No
Enumeration Date:2011-01-27
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE008340225200000X
PATEI004080225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant