Provider Demographics
NPI:1073390183
Name:WATKINS, MEGAN MICHELLE (PT,DPT)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:MICHELLE
Last Name:WATKINS
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:MICHELLE
Other - Last Name:SINANAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1146 MOUNT VERNON RD
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37022-8320
Mailing Address - Country:US
Mailing Address - Phone:615-403-3383
Mailing Address - Fax:
Practice Address - Street 1:195 INDIAN LAKE BLVD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-6448
Practice Address - Country:US
Practice Address - Phone:615-826-9223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14923225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist