Basic Information
| Provider Information | |||||||||
| NPI: | 1891424222 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LITER | ||||||||
| FirstName: | MEG | ||||||||
| MiddleName: | SUZANN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 146 WHITE OAK DR | ||||||||
| Address2: | |||||||||
| City: | BATESVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 470067615 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8127170214 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8726 US 42 | ||||||||
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| City: | FLORENCE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 41042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593012663 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2022 | ||||||||
| LastUpdateDate: | 06/09/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT019830 | OH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.