Healthcare Provider Details

I. General information

NPI: 1679498976
Provider Name (Legal Business Name): MORGAN MCCORD LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W ALLEGHENY RD STE 2
IMPERIAL PA
15126-9788
US

IV. Provider business mailing address

324 BUFFALO RD S
WASHINGTON PA
15301-9343
US

V. Phone/Fax

Practice location:
  • Phone: 724-695-5300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMSG013175
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: