NPI Code Details Logo

NPI 1841483690

NPI 1841483690 : MEGAN MADSEN DPT : RENO, NV

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1841483690
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MEGAN MADSEN DPT
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/24/2007
-----------------------------------------------------
    Last Update Date     |    01/17/2018
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4773 CAUGHLIN PKWY STE 1 
-----------------------------------------------------
    City                 |    RENO
-----------------------------------------------------
    State                |    NV
-----------------------------------------------------
    Zip                  |    89519-1012
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    775-432-2870
-----------------------------------------------------
    Fax                  |    775-432-2873
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    16560 WEDGE PKWY STE 200 
-----------------------------------------------------
    City                 |    RENO
-----------------------------------------------------
    State                |    NV
-----------------------------------------------------
    Zip                  |    89511-3207
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    775-384-1400
-----------------------------------------------------
    Fax                  |    775-384-1367
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    2169
-----------------------------------------------------
    License Number State |    NV
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.