Provider Demographics
NPI:1992057533
Name:MEUTH, JEANNE B (PT DPT)
Entity type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:B
Last Name:MEUTH
Suffix:
Gender:F
Credentials:PT DPT
Other - Prefix:DR
Other - First Name:MARY
Other - Middle Name:JEANNE
Other - Last Name:MEUTH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:PO BOX 740
Mailing Address - Street 2:
Mailing Address - City:MORGANFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42437-0740
Mailing Address - Country:US
Mailing Address - Phone:270-389-6299
Mailing Address - Fax:270-389-1311
Practice Address - Street 1:120 PARK ST
Practice Address - Street 2:
Practice Address - City:MORGANFIELD
Practice Address - State:KY
Practice Address - Zip Code:42437-1500
Practice Address - Country:US
Practice Address - Phone:270-389-6299
Practice Address - Fax:270-389-1311
Is Sole Proprietor?:No
Enumeration Date:2012-10-05
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0058392251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic