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NPI Code Detail

MEDICARE: RAELYNN MARIE MEYER

MEDICARE: RAELYNN MARIE MEYER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPTA014118OH

General Provider Information

NPI Number : 1255257911
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAELYNN MARIE MEYER
Provider Business Mailing Address
First Line : 16222 MOCK RD
Second Line :
City : BERLIN CENTER
State : OH
Zip : 44401-9795
Country : US
Telephone Number : 330-508-8389
Fax Number :
Provider Business Practice Location Address
First Line : 4466 LYNNHAVEN AVE
Second Line :
City : LOUISVILLE
State : OH
Zip : 44641-9513
Country : US
Telephone Number : 330-875-5060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2026
Last Update Date : 06/26/2026

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