Healthcare Provider Details

I. General information

NPI: 1306551882
Provider Name (Legal Business Name): MEGAN CULLERS MARSH PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN DAHN MARSH

II. Dates (important events)

Enumeration Date: 01/18/2023
Last Update Date: 01/18/2023
Certification Date: 01/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 MEDICAL PKWY STE 101
CEDAR PARK TX
78613-5012
US

IV. Provider business mailing address

8240 N MOPAC EXPY STE 100
AUSTIN TX
78759-8869
US

V. Phone/Fax

Practice location:
  • Phone: 512-248-2200
  • Fax: 512-260-1991
Mailing address:
  • Phone: 512-687-1970
  • Fax: 512-407-9010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1326375
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: