MEDICARE: MEAGAN PACZESNY 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	P19175	NC
2	225100000X	Physical Therapist	PT7685	MS

General Provider Information

NPI Number	:	1447413315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGAN PACZESNY DPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 ENTERPRISE DR UNIT 15
Second Line	:
City	:	OXFORD
State	:	MS
Zip	:	38655-2761
Country	:	US
Telephone Number	:	622-234-0010
Fax Number	:

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

Provider Enumeration Date	:	07/09/2008
Last Update Date	:	02/01/2024

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Directions to “ MEAGAN PACZESNY DPT” Practice Location

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