Healthcare Provider Details

I. General information

NPI: 1396649216
Provider Name (Legal Business Name): ZACHARY ALLEN MORRIS BS, NRP, WP-C, TP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ZACH MORRIS BS, NRP, WP-C, TP-C

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 JUNIPER LANE UNIT 117
SPRINGDALE UT
84767
US

IV. Provider business mailing address

PO BOX 953
SPRINGDALE UT
84767-0953
US

V. Phone/Fax

Practice location:
  • Phone: 618-339-0943
  • Fax:
Mailing address:
  • Phone: 618-339-0943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number210220
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number265372
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number2022036966
License Number StateUT
# 4
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number1125553
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: