Healthcare Provider Details

I. General information

NPI: 1285664094
Provider Name (Legal Business Name): CHRISTOPHER THERON MORROW P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 10/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 MERCER ST SUITE 302
SEATTLE WA
98109-4650
US

IV. Provider business mailing address

PO BOX 9940
SEATTLE WA
98109-0940
US

V. Phone/Fax

Practice location:
  • Phone: 206-448-1906
  • Fax: 206-352-5602
Mailing address:
  • Phone: 206-448-1906
  • Fax: 206-352-5602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number00006115
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number00006115
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number00006115
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: