Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 10492 | AZ |
Y | 225100000X | Physical Therapist | 9726 | MN |
N | 2251S0007X | Physical Therapist - Sports | ||
N | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1134552987 |
---|---|
Provider Name | Christopher G Meyer |
First Address | Farmington, MN 55024-7007 |
Second Address | St Louis Park, MN 55416-2612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2013 |
Last Update Date | 03/08/2021 |