MEDICARE: MORGAN JOYCE WILLIAMS

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	2016-3383	WV

General Provider Information

NPI Number	:	1811437510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN JOYCE WILLIAMS

Provider Business Mailing Address
First Line	:	130 PETERS DR
Second Line	:
City	:	BECKLEY
State	:	WV
Zip	:	25801-9352
Country	:	US
Telephone Number	:	304-575-8432
Fax Number	:

Provider Business Practice Location Address
First Line	:	159 GRANBY CIR
Second Line	:
City	:	BEAVER
State	:	WV
Zip	:	25813-9233
Country	:	US
Telephone Number	:	304-575-8432
Fax Number	:

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

Provider Enumeration Date	:	02/28/2017
Last Update Date	:	02/28/2017

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