| NPI | 1114711017 |
|---|---|
| Former Name | MEAGAN MASSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT033043) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 13284) |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2026-02-16 |