Provider Demographics
NPI:1871840587
Name:HUMPAL, MEGAN MARIE (PT)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:MARIE
Last Name:HUMPAL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:MARIE
Other - Last Name:HELDERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:411 HAGANMAN LN UNIT D
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:IA
Mailing Address - Zip Code:52333-9760
Mailing Address - Country:US
Mailing Address - Phone:319-624-1250
Mailing Address - Fax:319-624-1252
Practice Address - Street 1:411 HAGANMAN LN UNIT D
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:IA
Practice Address - Zip Code:52333-9760
Practice Address - Country:US
Practice Address - Phone:319-624-1250
Practice Address - Fax:319-624-1252
Is Sole Proprietor?:No
Enumeration Date:2012-08-13
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP14656225100000X
IN05013772A225100000X
SC7310225100000X
IL0700189792251X0800X
IA119566225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic