Healthcare Provider Details

I. General information

NPI: 1487055679
Provider Name (Legal Business Name): MEGAN CLOWERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2014
Last Update Date: 01/09/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9645 AIDAN WAY
RENO NV
89521-4325
US

IV. Provider business mailing address

9645 AIDAN WAY
RENO NV
89521-4325
US

V. Phone/Fax

Practice location:
  • Phone: 775-530-5407
  • Fax:
Mailing address:
  • Phone: 775-530-5407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: