Provider Demographics
NPI:1487709226
Name:MEADOWS, MINDI (MS PT ATC)
Entity type:Individual
Prefix:MRS
First Name:MINDI
Middle Name:
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:MS PT ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1966
Mailing Address - Street 2:
Mailing Address - City:RAINSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35986-1966
Mailing Address - Country:US
Mailing Address - Phone:256-638-1150
Mailing Address - Fax:256-638-1158
Practice Address - Street 1:598 MAIN ST E
Practice Address - Street 2:
Practice Address - City:RAINSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35986-4541
Practice Address - Country:US
Practice Address - Phone:256-638-1150
Practice Address - Fax:256-638-1158
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH3371225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51514927OtherBLUE CROSS BLUE SHIELD
AL481308430OtherTAX ID
AL051514927Medicare ID - Type Unspecified