Provider Demographics
NPI:1811220841
Name:VANSLAGER, MEGHANN KELLIE (DPT)
Entity type:Individual
Prefix:
First Name:MEGHANN
Middle Name:KELLIE
Last Name:VANSLAGER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:COLBY
Mailing Address - State:KS
Mailing Address - Zip Code:67701-1902
Mailing Address - Country:US
Mailing Address - Phone:248-895-5434
Mailing Address - Fax:
Practice Address - Street 1:650 LAKE RD
Practice Address - Street 2:
Practice Address - City:ATWOOD
Practice Address - State:KS
Practice Address - Zip Code:67730-1535
Practice Address - Country:US
Practice Address - Phone:785-626-9015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-052902251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS11-05290OtherKANSAS BOARD OF HEALING ARTS