MEDICARE: JULIE MORRIS P.T.

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	225100000X	Physical Therapist	30732	FL

General Provider Information

NPI Number	:	1356456958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE MORRIS P.T.

Provider Business Mailing Address
First Line	:	1217 CAPRI DR
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-3298
Country	:	US
Telephone Number	:	520-982-9316
Fax Number	:	850-641-7915

Provider Business Practice Location Address
First Line	:	1714 W 23RD ST STE I
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-2924
Country	:	US
Telephone Number	:	520-982-9316
Fax Number	:

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

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	11/22/2023

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