Provider Demographics
NPI:1306929963
Name:MEURRIER, MICHEL (PT)
Entity type:Individual
Prefix:MR
First Name:MICHEL
Middle Name:
Last Name:MEURRIER
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:ALL-AMERICAN DRIVE
Mailing Address - Street 2:ROOM 118 STARNES CENTER
Mailing Address - City:UNIVERSITY
Mailing Address - State:MS
Mailing Address - Zip Code:38677
Mailing Address - Country:US
Mailing Address - Phone:662-915-2027
Mailing Address - Fax:662-915-5275
Practice Address - Street 1:ALL-AMERICAN DRIVE
Practice Address - Street 2:ROOM 118 STARNES CENTER
Practice Address - City:UNIVERSITY
Practice Address - State:MS
Practice Address - Zip Code:38677
Practice Address - Country:US
Practice Address - Phone:662-915-2027
Practice Address - Fax:662-915-5275
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT3635225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist