Doctor Name: | DR. MEREDITH SCHUCK TITTLE |
NPI Number: | 1538205836 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT, OCS |
License Number: | 1145902 |
Business Practice Address: | 2652 Fm 407 E Suite 115 Bartonville, TX - 762267018 |
Business Phone Number: | 9402411215 |
Business Fax Number: | 9404552041 |
Mailing Address: | 2652 Fm 407 E, Suite 115 BARTONVILLE |
State: | TX |
Postal Code: | 762267018 |
Phone Number: | 9402411215 |
Fax Number: | 9404552041 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 12/21/2015 |
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 |