Megan Reynolds, PTA

Individual provider Active NPI Physical Therapy Assistant · Minerva, OH

NPI 1114356235 · NPPES record last updated Nov 8, 2013

Key facts

NPI
1114356235
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA. 08530 (OH)
Practice address
400 Carolyn CT
Minerva, OH 44657-8703
Phone
(330) 868-4104
Fax
(330) 868-7714
NPI assigned
Nov 8, 2013
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
PTA. 08530OHMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA. 08530 OH Yes

Addresses

Primary practice location

400 Carolyn CT
Minerva, OH 44657-8703

Mailing address

38626 Mattix Rd
Lisbon, OH 44432-9704
Phone (330) 429-1386

Other providers in Minerva, OH

All providers in Minerva, OH · Physical Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.