MEDICARE: MEGAN DANCE STINSON PT, 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	7960	TN

General Provider Information

NPI Number	:	1962709121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN DANCE STINSON PT, DPT

Provider Business Mailing Address
First Line	:	702 W HIGHWAY 25 70
Second Line	:
City	:	NEWPORT
State	:	TN
Zip	:	37821-9020
Country	:	US
Telephone Number	:	423-225-2554
Fax Number	:	423-458-2117

Provider Business Practice Location Address
First Line	:	702 W HIGHWAY 25 70
Second Line	:
City	:	NEWPORT
State	:	TN
Zip	:	37821-9020
Country	:	US
Telephone Number	:	423-225-2554
Fax Number	:	423-458-2117

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

Provider Enumeration Date	:	02/23/2011
Last Update Date	:	07/02/2021

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