Healthcare Provider Details

I. General information

NPI: 1821913948
Provider Name (Legal Business Name): MEGHANN LOUISE HALL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12803 LENOVER ST
DILLSBORO IN
47018-9418
US

IV. Provider business mailing address

6764 COOK RD
GUILFORD IN
47022-9321
US

V. Phone/Fax

Practice location:
  • Phone: 812-432-5226
  • Fax:
Mailing address:
  • Phone: 740-258-9108
  • Fax: 740-258-9108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number05011884A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: