Provider Demographics
NPI:1982748257
Name:SNOW, MEGAN ANN (ATC)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:ANN
Last Name:SNOW
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 ROBERT ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-1467
Mailing Address - Country:US
Mailing Address - Phone:440-773-9492
Mailing Address - Fax:
Practice Address - Street 1:1005 ROBERT ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-1467
Practice Address - Country:US
Practice Address - Phone:440-773-9492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer