MEDICARE: MEG MANNING

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

General Provider Information

NPI Number	:	1225846470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEG MANNING

Provider Business Mailing Address
First Line	:	2679 N 950 E
Second Line	:
City	:	NORTH OGDEN
State	:	UT
Zip	:	84414-2464
Country	:	US
Telephone Number	:	801-644-0823
Fax Number	:

Provider Business Practice Location Address
First Line	:	2679 N 950 E
Second Line	:
City	:	NORTH OGDEN
State	:	UT
Zip	:	84414-2464
Country	:	US
Telephone Number	:	801-644-0823
Fax Number	:

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

Provider Enumeration Date	:	12/19/2024
Last Update Date	:	12/19/2024

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Directions to “ MEG MANNING ” Practice Location

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