Provider Demographics
NPI:1306121942
Name:LINDER, MEGAN L (LMP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:L
Last Name:LINDER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1011 N ALDER ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-2699
Mailing Address - Country:US
Mailing Address - Phone:509-962-2570
Mailing Address - Fax:509-962-4668
Practice Address - Street 1:1011 N ALDER ST
Practice Address - Street 2:SUTIE1
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-2699
Practice Address - Country:US
Practice Address - Phone:509-962-2570
Practice Address - Fax:509-962-4668
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist