Provider Demographics
NPI:1427673326
Name:HUDDLESTON, MEGAN LURTY (DPT)
Entity type:Individual
Prefix:MISS
First Name:MEGAN
Middle Name:LURTY
Last Name:HUDDLESTON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 RICHARD JONES RD STE 180
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2860
Mailing Address - Country:US
Mailing Address - Phone:615-298-8021
Mailing Address - Fax:615-298-8024
Practice Address - Street 1:2021 RICHARD JONES RD STE 180
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2860
Practice Address - Country:US
Practice Address - Phone:615-298-8021
Practice Address - Fax:615-298-8024
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12920225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist