Healthcare Provider Details

I. General information

NPI: 1033025028
Provider Name (Legal Business Name): MORGAN BAKER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 W OAKLAND AVE STE 205
JOHNSON CITY TN
37604-1673
US

IV. Provider business mailing address

525 W OAKLAND AVE STE 205
JOHNSON CITY TN
37604-1673
US

V. Phone/Fax

Practice location:
  • Phone: 423-282-1700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: