Provider Demographics
NPI:1871727842
Name:TIMMS, MEGAN E (DPT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:E
Last Name:TIMMS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:E
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:24569 ROUTE 6
Mailing Address - Street 2:SUITE C
Mailing Address - City:TOWANDA
Mailing Address - State:PA
Mailing Address - Zip Code:18848-8254
Mailing Address - Country:US
Mailing Address - Phone:570-265-7688
Mailing Address - Fax:570-265-7134
Practice Address - Street 1:208 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MOSCOW
Practice Address - State:PA
Practice Address - Zip Code:18444-9135
Practice Address - Country:US
Practice Address - Phone:570-842-8191
Practice Address - Fax:570-842-8192
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT020042225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist