Healthcare Provider Details

I. General information

NPI: 1538504816
Provider Name (Legal Business Name): CHERYL ANNETTE MORGAN CRT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2013
Last Update Date: 07/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 ST. MARYS ROAD
JUNCTION CITY KS
66441
US

IV. Provider business mailing address

1102 SAINT MARYS RD
JUNCTION CITY KS
66441-4139
US

V. Phone/Fax

Practice location:
  • Phone: 785-238-4131
  • Fax: 785-210-3443
Mailing address:
  • Phone: 785-238-4131
  • Fax: 785-210-3443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number16-03856
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: