Healthcare Provider Details

I. General information

NPI: 1790023398
Provider Name (Legal Business Name): KARA L MORGAN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2013
Last Update Date: 01/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 MABRY HOOD RD SUITE 301
KNOXVILLE TN
37932-2669
US

IV. Provider business mailing address

614 MABRY HOOD RD SUITE 301
KNOXVILLE TN
37932-2669
US

V. Phone/Fax

Practice location:
  • Phone: 865-531-2204
  • Fax: 855-232-8604
Mailing address:
  • Phone: 865-531-2204
  • Fax: 855-232-8604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2963
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: