Provider Demographics
NPI:1487376844
Name:MEREDITH BAY PHYSICAL THERAPY
Entity type:Organization
Organization Name:MEREDITH BAY PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEVALIER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:603-630-2566
Mailing Address - Street 1:96 WAUKEWAN ST
Mailing Address - Street 2:
Mailing Address - City:MEREDITH
Mailing Address - State:NH
Mailing Address - Zip Code:03253-5726
Mailing Address - Country:US
Mailing Address - Phone:603-630-2566
Mailing Address - Fax:
Practice Address - Street 1:169 DANIEL WEBSTER HWY UNIT 3
Practice Address - Street 2:
Practice Address - City:MEREDITH
Practice Address - State:NH
Practice Address - Zip Code:03253-5648
Practice Address - Country:US
Practice Address - Phone:603-800-0011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty