MEDICARE: CHRISTA ANN MEYER MPT

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	05008325A	IN
2	225100000X	Physical Therapist	PT00010047	WA
3	225100000X	Physical Therapist	32703	CA

General Provider Information

NPI Number	:	1962610394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTA ANN MEYER MPT

Provider Business Mailing Address
First Line	:	1449 N LELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-2955
Country	:	US
Telephone Number	:	317-213-9006
Fax Number	:

Provider Business Practice Location Address
First Line	:	1449 N LELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-2955
Country	:	US
Telephone Number	:	317-213-9006
Fax Number	:

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

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	07/08/2007

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Directions to “ CHRISTA ANN MEYER MPT” Practice Location

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