Provider Demographics
NPI:1487933990
Name:MUELLER, MEREDITH HUNDT (PT)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:HUNDT
Last Name:MUELLER
Suffix:
Gender:F
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:PO BOX 5584
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443-5584
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:142 BEAVER CREEK PLACE
Practice Address - Street 2:UNIT 109
Practice Address - City:AVON
Practice Address - State:CO
Practice Address - Zip Code:81620-0000
Practice Address - Country:US
Practice Address - Phone:970-790-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8190225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist