MRS. Meredith Cupp

NPI #1487860177 in Scott City, Kansas

Provider Information

NPI Number: 1487860177
Entity Type: Individual
Name: MRS. Meredith Cupp
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4500 S KANSAS RD
City: Scott City
State: Kansas
ZIP Code: 67871-5139
Phone: (620) 874-1565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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