Provider Demographics
NPI:1508142761
Name:DARCY, MEGAN LEIGH (ATC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LEIGH
Last Name:DARCY
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:IONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48846-1652
Mailing Address - Country:US
Mailing Address - Phone:616-523-1010
Mailing Address - Fax:616-523-1407
Practice Address - Street 1:537 W MAIN ST
Practice Address - Street 2:
Practice Address - City:IONIA
Practice Address - State:MI
Practice Address - Zip Code:48846-1652
Practice Address - Country:US
Practice Address - Phone:616-523-1010
Practice Address - Fax:616-523-1407
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI26010001692255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer