Provider Demographics
NPI:1528436136
Name:HARPER, MEGAN (ATC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:HARPER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4621 APPLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SARALAND
Mailing Address - State:AL
Mailing Address - Zip Code:36571-5700
Mailing Address - Country:US
Mailing Address - Phone:251-643-3741
Mailing Address - Fax:
Practice Address - Street 1:5735 COLLEGE PKWY
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36613-2842
Practice Address - Country:US
Practice Address - Phone:251-442-2547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-14
Last Update Date:2022-02-27
Deactivation Date:2020-03-28
Deactivation Code:
Reactivation Date:2021-11-09
Provider Licenses
StateLicense IDTaxonomies
AL12032255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer