Healthcare Provider Details

I. General information

NPI: 1497094056
Provider Name (Legal Business Name): JAYME ELIZABETH MORRIS LPTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2013
Last Update Date: 02/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 CROSS ROAD LN
FISHERSVILLE VA
22939-2331
US

IV. Provider business mailing address

83 CROSS ROAD LN
FISHERSVILLE VA
22939-2331
US

V. Phone/Fax

Practice location:
  • Phone: 540-885-8424
  • Fax:
Mailing address:
  • Phone: 540-885-8424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2306602201
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: