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NPI Code Detail

MEDICARE: MEGAN BECHTOLD DPT

MEDICARE:   MEGAN  BECHTOLD  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
1225100000XPhysical Therapist1104098KS

General Provider Information

NPI Number : 1962718304
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN BECHTOLD DPT
Provider Business Mailing Address
First Line : 608 N WINNEBAGO DR
Second Line :
City : LAKE WINNEBAGO
State : MO
Zip : 64034-9419
Country : US
Telephone Number : 913-526-4434
Fax Number : 816-600-0349
Provider Business Practice Location Address
First Line : 608 N WINNEBAGO DR
Second Line :
City : LAKE WINNEBAGO
State : MO
Zip : 64034-9419
Country : US
Telephone Number : 913-526-4434
Fax Number : 816-600-0349
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2010
Last Update Date : 04/19/2023

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