Healthcare Provider Details

I. General information

NPI: 1508728601
Provider Name (Legal Business Name): DANIELLE LYNN MORRIS PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 E STATE ST
BELDING MI
48809-2200
US

IV. Provider business mailing address

8867 S DERBY RD
SHERIDAN MI
48884-9367
US

V. Phone/Fax

Practice location:
  • Phone: 616-794-0460
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: