Healthcare Provider Details
I. General information
NPI: 1922794890
Provider Name (Legal Business Name): MEGAN STITZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/13/2023
Last Update Date: 06/28/2025
Certification Date: 06/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7951 EP TRUE PKWY
WEST DES MOINES IA
50266-8107
US
IV. Provider business mailing address
8805 CHAMBERY BLVD STE 300-237
JOHNSTON IA
50131-8813
US
V. Phone/Fax
- Phone: 515-223-1135
- Fax:
- Phone: 515-220-1365
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: