Healthcare Provider Details

I. General information

NPI: 1750586475
Provider Name (Legal Business Name): KATHRYN LYNN MORRISON P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN LYNN POSCHNER P.T.

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CAMPUS DR
FREEPORT ME
04033-0001
US

IV. Provider business mailing address

100 GANNETT DR STE C
SOUTH PORTLAND ME
04106-5900
US

V. Phone/Fax

Practice location:
  • Phone: 207-552-7453
  • Fax: 207-552-7129
Mailing address:
  • Phone: 207-828-0361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3012
License Number StateME

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: