MEDICARE: MEAGHAN KNIGHT

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	225200000X	Physical Therapy Assistant	2306604029	VA

General Provider Information

NPI Number	:	1558752063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGHAN KNIGHT

Provider Business Mailing Address
First Line	:	213 ARBOR STATION DR
Second Line	:
City	:	LONG BEACH
State	:	MS
Zip	:	39560-5728
Country	:	US
Telephone Number	:	281-714-9300
Fax Number	:

Provider Business Practice Location Address
First Line	:	213 ARBOR STATION DR
Second Line	:
City	:	LONG BEACH
State	:	MS
Zip	:	39560-5728
Country	:	US
Telephone Number	:	281-714-9300
Fax Number	:

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

Provider Enumeration Date	:	02/05/2015
Last Update Date	:	02/05/2015

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