Provider Demographics
NPI:1588703599
Name:HIRD, MEGAN T (PT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:T
Last Name:HIRD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:T
Other - Last Name:OSTRANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:5901 REBEL DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-9390
Mailing Address - Country:US
Mailing Address - Phone:308-430-3759
Mailing Address - Fax:
Practice Address - Street 1:5901 REBEL DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-9390
Practice Address - Country:US
Practice Address - Phone:308-430-3759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3058225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist