Provider Demographics
NPI:1528515269
Name:MEIER, MARY (ATC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:MEIER
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 1:223 FORKER BUILDING 534 WALLACE RD
Mailing Address - Street 2:IOWA STATE UNIVERSITY
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50011-0001
Mailing Address - Country:US
Mailing Address - Phone:515-294-3587
Mailing Address - Fax:
Practice Address - Street 1:223 FORKER BUILDING 534 WALLACE RD
Practice Address - Street 2:IOWA STATE UNIVERSITY
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50011-0001
Practice Address - Country:US
Practice Address - Phone:515-294-3587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-09
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00027171M00000X, 2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No171M00000XOther Service ProvidersCase Manager/Care Coordinator