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NPI Code Detail

MEDICARE: MEGAN STITTLE

MEDICARE: MEGAN STITTLE
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 Assistant
2225200000XPhysical Therapy Assistant1367NE

General Provider Information

NPI Number : 1932768918
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN STITTLE
Provider Business Mailing Address
First Line : 47687 776TH RD
Second Line :
City : RAVENNA
State : NE
Zip : 68869-6123
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1005 N 8TH ST
Second Line :
City : LOUP CITY
State : NE
Zip : 68853-8215
Country : US
Telephone Number : 308-745-0303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2019
Last Update Date : 06/12/2019

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Directions to “ MEGAN STITTLE ” Practice Location

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