Provider Demographics
NPI:1962174839
Name:MCCOY, MEAGAN (OTR)
Entity type:Individual
Prefix:MISS
First Name:MEAGAN
Middle Name:
Last Name:MCCOY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3274 BOWMAN LOOP
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38571-0694
Mailing Address - Country:US
Mailing Address - Phone:931-200-5316
Mailing Address - Fax:
Practice Address - Street 1:80 JUSTICE ST
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-4744
Practice Address - Country:US
Practice Address - Phone:931-484-4782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist