MEDICARE: MR. DAVID SCOTT MORGAN MSPT

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	1601	NV

General Provider Information

NPI Number	:	1376604066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID SCOTT MORGAN MSPT

Provider Business Mailing Address
First Line	:	9360 MUDDY WATERS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178
Country	:	US
Telephone Number	:	702-895-9281
Fax Number	:

Provider Business Practice Location Address
First Line	:	9360 MUDDY WATERS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-5710
Country	:	US
Telephone Number	:	702-895-9281
Fax Number	:

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

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	02/08/2010

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Directions to “ MR. DAVID SCOTT MORGAN MSPT” Practice Location

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