Doctor Name: | SUSAN MARIE MEYER |
NPI Number: | 1356465199 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 6801 |
Business Practice Address: | 4050 Coon Rapids Blvd Nw Coon Rapids, MN - 554332522 |
Business Phone Number: | 7632368979 |
Business Fax Number: | 7632368990 |
Mailing Address: | 1012 120th Ln Nw, COON RAPIDS |
State: | MN |
Postal Code: | 554482229 |
Phone Number: | 7637574341 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6801 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |