Healthcare Provider Details

I. General information

NPI: 1669337358
Provider Name (Legal Business Name): MORGAN MARIE PLAUTZ DPT, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGAN JAKUSZ

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94220 4TH ST
GOLD BEACH OR
97444-7772
US

IV. Provider business mailing address

10435 N MCCLAINE RD
HAYWARD WI
54843-7623
US

V. Phone/Fax

Practice location:
  • Phone: 541-247-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP051788T
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17546-024
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: