WADE ANTHONY MEYER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014048

License Status

ACTIVE

Business

First Name

WADE

Middle

ANTHONY

Last Name

MEYER

Business Name

WADE ANTHONY MEYER

Original Issue Date

08/05/2004

Effective Date

09/18/2024

Expiration Date

09/30/2026

City

PRIOR LAKE

State

Zip

55372

Ever Disciplined

LastModifiedDate

09/18/2024