Healthcare Provider Details

I. General information

NPI: 1346765062
Provider Name (Legal Business Name): MEGAN CASALE ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2017
Last Update Date: 11/23/2020
Certification Date: 11/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 STONERIDGE LN
DUBLIN OH
43017-2288
US

IV. Provider business mailing address

1083 SUNBURY RD
COLUMBUS OH
43219-2118
US

V. Phone/Fax

Practice location:
  • Phone: 614-366-9324
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: