MEDICARE: MEAGHAN HOWELL DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT5408	ME

General Provider Information

NPI Number	:	1144871195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGHAN HOWELL DPT

Provider Business Mailing Address
First Line	:	2905 COLERIDGE RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-3507
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2905 COLERIDGE RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-3507
Country	:	US
Telephone Number	:	952-451-3816
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2019
Last Update Date	:	09/20/2019

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