Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist |
NPI | 1174518369 |
---|---|
Provider Name | Ms. Megan Jones Mcelroy |
First Address | Millstone, KY 41838-9067 |
Second Address | Millstone, KY 41838-9067 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2005 |
Last Update Date | 31/03/2020 |