Healthcare Provider Details

I. General information

NPI: 1114854973
Provider Name (Legal Business Name): MORGAN WAYTASHEK LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MORGAN WAY LMT

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 460470
POLARIS MT
59746-0470
US

IV. Provider business mailing address

PO BOX 460470
POLARIS MT
59746-0470
US

V. Phone/Fax

Practice location:
  • Phone: 406-333-1559
  • Fax:
Mailing address:
  • Phone: 406-333-1559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: