Healthcare Provider Details

I. General information

NPI: 1912815143
Provider Name (Legal Business Name): MORGAN STANYER
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 NATOMA STATION DR
FOLSOM CA
95630-7965
US

IV. Provider business mailing address

PO BOX 553
FOLSOM CA
95763-0553
US

V. Phone/Fax

Practice location:
  • Phone: 916-905-6378
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: