Provider Demographics
NPI:1063925204
Name:MEEKINS, DAMON WILL (PT)
Entity type:Individual
Prefix:
First Name:DAMON
Middle Name:WILL
Last Name:MEEKINS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 FOREST HILL DR
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-6635
Mailing Address - Country:US
Mailing Address - Phone:972-906-5990
Mailing Address - Fax:
Practice Address - Street 1:543 FOREST HILL DR
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-6635
Practice Address - Country:US
Practice Address - Phone:972-906-5990
Practice Address - Fax:972-906-5990
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-09
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11353822251G0304X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics