Healthcare Provider Details

I. General information

NPI: 1639341746
Provider Name (Legal Business Name): MEGGINSON THERAPIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2008
Last Update Date: 08/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7048 JEWETT STREET
MONTROSE AL
36559
US

IV. Provider business mailing address

7048 JEWETT STREET
MONTROSE AL
36559
US

V. Phone/Fax

Practice location:
  • Phone: 251-929-3646
  • Fax:
Mailing address:
  • Phone: 251-929-3646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTH 3138
License Number StateAL

VIII. Authorized Official

Name: MR. WILLIAM JAY MEGGINSON
Title or Position: PHYSICAL THERAPIST
Credential: P.T.
Phone: 251-929-3646