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NPI Code Detail

MEDICARE: KATIE LYNN MEYERS

MEDICARE: KATIE LYNN MEYERS
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
1225100000XPhysical Therapist005053IA

General Provider Information

NPI Number : 1679825558
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE LYNN MEYERS
Provider Business Mailing Address
First Line : 6545 FLYING CLOUD DR STE 201
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-3356
Country : US
Telephone Number : 952-224-1919
Fax Number :
Provider Business Practice Location Address
First Line : 6545 FLYING CLOUD DR STE 201
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-3356
Country : US
Telephone Number : 952-224-1919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2012
Last Update Date : 08/28/2025

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Directions to “ KATIE LYNN MEYERS ” Practice Location

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