Healthcare Provider Details

I. General information

NPI: 1598349599
Provider Name (Legal Business Name): MEGHAN TODEY RT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2021
Last Update Date: 05/06/2021
Certification Date: 05/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16308 HIGHWAY 63
BLOOMFIELD IA
52537-6814
US

IV. Provider business mailing address

1200 PLEASANT ST
DES MOINES IA
50309-1406
US

V. Phone/Fax

Practice location:
  • Phone: 515-402-5766
  • Fax:
Mailing address:
  • Phone: 515-241-6212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number092690
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: