Healthcare Provider Details

I. General information

NPI: 1336071877
Provider Name (Legal Business Name): MORGAN RUDD DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W REELFOOT AVE
UNION CITY TN
38261-5601
US

IV. Provider business mailing address

PO BOX 681478
FRANKLIN TN
37068-1478
US

V. Phone/Fax

Practice location:
  • Phone: 731-885-1077
  • Fax: 731-885-4728
Mailing address:
  • Phone: 615-591-6590
  • Fax: 615-591-6601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17123
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: