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General NPI Number Information
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NPI Number | 1891509469
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Entity Type | Individual
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Provider Name | MORGAN FAITH PHARES LMT
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Gender | Female
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | HARRIS FAMILY CHIROPRACTIC 630 ROBERT E. LEE AVE
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City | ELKINS
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State | WV
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Zip | 26241-3211
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Country | US
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Telephone | 304-637-2326
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Fax | 304-637-0404
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Provider Business Mailing Address
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Address Line | HARRIS FAMILY CHIROPRACTIC 630 ROBERT E. LEE AVE
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City | ELKINS
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State | WV
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Zip | 26241-3211
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Country | US
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Telephone | 304-637-2326
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Fax | 304-637-0404
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 2023-4056
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License Number State | WV
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