Healthcare Provider Details

I. General information

NPI: 1841126588
Provider Name (Legal Business Name): MEAGAN CROUCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1136 E STUART ST STE 3200
FORT COLLINS CO
80525-1196
US

IV. Provider business mailing address

4701 STRAUSS CABIN RD APT 10210
FORT COLLINS CO
80528-4673
US

V. Phone/Fax

Practice location:
  • Phone: 970-520-9962
  • Fax:
Mailing address:
  • Phone: 970-520-9962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number0026018
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: