Provider Demographics
NPI:1588141147
Name:MEYER, JILLIAN PAIGE (PT, DPT, WCS, CLT-L)
Entity type:Individual
Prefix:DR
First Name:JILLIAN
Middle Name:PAIGE
Last Name:MEYER
Suffix:
Gender:F
Credentials:PT, DPT, WCS, CLT-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2406 BLUE RIDGE RD STE 190
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6680
Mailing Address - Country:US
Mailing Address - Phone:919-594-1198
Mailing Address - Fax:
Practice Address - Street 1:2406 BLUE RIDGE RD STE 190
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6680
Practice Address - Country:US
Practice Address - Phone:919-594-1198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-25
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1588141147OtherNPI