MEDICARE: MORGAN STRONG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT-21771	AZ

General Provider Information

NPI Number	:	1619584455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN STRONG

Provider Business Mailing Address
First Line	:	7777 E MAIN ST UNIT 357
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-4648
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7777 E MAIN ST UNIT 357
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-4648
Country	:	US
Telephone Number	:	914-489-3285
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2020
Last Update Date	:	02/13/2021

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Directions to “ MORGAN STRONG ” Practice Location

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