Healthcare Provider Details

I. General information

NPI: 1750965612
Provider Name (Legal Business Name): MORGAN ELIZABETH FERGUS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2021
Last Update Date: 05/07/2021
Certification Date: 05/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 EDGEWOOD RD SW
CEDAR RAPIDS IA
52404-2342
US

IV. Provider business mailing address

701 10TH ST SE
CEDAR RAPIDS IA
52403-1292
US

V. Phone/Fax

Practice location:
  • Phone: 319-398-6006
  • Fax:
Mailing address:
  • Phone: 319-398-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number099401
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: