| Organization Name: | MEREDITH S. TITTLE, P.T., P.C. |
| NPI Number: | 1245553395 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MEREDITH SCHUCK TITTLE (PHYSICAL THERAPIST) |
| Mailing Address: | 2652 Fm 407 E Suite 115 Bartonville |
| State: | TX US |
| Postal Code: | 762267018 |
| Phone Number: | 9402411215 |
| Fax Number: | 9404552041 |
| NPI Enumeration Date: | 03/03/2010 |
| NPI Last Update Date: | 12/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1145902 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |