MEDICARE: ALLISON MORRIS PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	2132872	TX

General Provider Information

NPI Number	:	1306363866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON MORRIS PTA

Provider Business Mailing Address
First Line	:	4040 KOEHLER ST APT 2055
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-3673
Country	:	US
Telephone Number	:	303-681-6993
Fax Number	:

Provider Business Practice Location Address
First Line	:	11120 NORTH FWY STE 800
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77037-1029
Country	:	US
Telephone Number	:	281-875-1800
Fax Number	:	281-875-1807

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2017
Last Update Date	:	08/25/2017

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