MEDICARE: KATHRYN MORRIS PT, DPT

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	2305208757	VA

General Provider Information

NPI Number	:	1609289701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN MORRIS PT, DPT

Provider Business Mailing Address
First Line	:	20347 TIMBERLAKE RD STE B
Second Line	:
City	:	LYNCHBURG
State	:	VA
Zip	:	24502-7203
Country	:	US
Telephone Number	:	434-845-9053
Fax Number	:	434-528-2788

Provider Business Practice Location Address
First Line	:	120 RUSH ST W
Second Line	:
City	:	BROOKNEAL
State	:	VA
Zip	:	24528-3026
Country	:	US
Telephone Number	:	434-845-9053
Fax Number	:

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

Provider Enumeration Date	:	06/05/2014
Last Update Date	:	11/11/2016

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