Healthcare Provider Details

I. General information

NPI: 1316508807
Provider Name (Legal Business Name): MORGAN R DOPP DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 E ENTERPRISE AVE STE 600
APPLETON WI
54913-7747
US

IV. Provider business mailing address

1635 N MCCARTHY RD APT 7
APPLETON WI
54913-8456
US

V. Phone/Fax

Practice location:
  • Phone: 920-738-0671
  • Fax: 920-738-0773
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: