Basic Information
| Provider Information | |||||||||
| NPI: | 1700287604 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WRIGG | ||||||||
| FirstName: | MEGAN | ||||||||
| MiddleName: | IRENE | ||||||||
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| Credential: | PT, DPT, CSCS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 46 N LAST CHANCE GULCH | ||||||||
| Address2: | STE C | ||||||||
| City: | HELENA | ||||||||
| State: | MT | ||||||||
| PostalCode: | 596014176 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4064590345 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1302 PROSPECT AVE | ||||||||
| Address2: | SPACE C | ||||||||
| City: | HELENA | ||||||||
| State: | MT | ||||||||
| PostalCode: | 596013928 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4065021900 | ||||||||
| FaxNumber: | 4065021333 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/10/2014 | ||||||||
| LastUpdateDate: | 01/01/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225600000X | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Dance Therapist | 2251X0800X | PTP-PT-LIC-2414 | MT | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | 225100000X | 2414 | MT | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.