Megan Heather Davis, PTA

Individual provider Active NPI Physical Therapy Assistant · Copperas Cove, TX

NPI 1003395401 · NPPES record last updated Aug 7, 2018

Key facts

NPI
1003395401
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2079119 (TX)
Practice address
855 Thomas St
Copperas Cove, TX 76522-7736
Phone
(912) 344-1115
NPI assigned
Aug 7, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2079119TXMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2079119 TX Yes

Addresses

Primary practice location

855 Thomas St
Copperas Cove, TX 76522-7736

Mailing address

855 Thomas St
Copperas Cove, TX 76522-7736
Phone (912) 344-1115

Other providers in Copperas Cove, TX

All providers in Copperas Cove, TX · Physical Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.