Provider Demographics
NPI:1871730176
Name:MCKOY, MEGAN BETH (DPT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:BETH
Last Name:MCKOY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:BETH
Other - Last Name:ESPELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8205 W WARM SPRINGS RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-3645
Mailing Address - Country:US
Mailing Address - Phone:702-734-4901
Mailing Address - Fax:
Practice Address - Street 1:8205 W WARM SPRINGS RD
Practice Address - Street 2:SUITE 250
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-3645
Practice Address - Country:US
Practice Address - Phone:702-734-4901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-08
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8192225100000X
NV2865225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ8192OtherAZ LICENSE