Provider Demographics
NPI:1033171632
Name:MORRIS, PATRICK WAYNE JR (MS, ATC, PES)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:WAYNE
Last Name:MORRIS
Suffix:JR
Gender:M
Credentials:MS, ATC, PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT UNION
Mailing Address - State:PA
Mailing Address - Zip Code:17066-1357
Mailing Address - Country:US
Mailing Address - Phone:570-660-3163
Mailing Address - Fax:
Practice Address - Street 1:RR 2 BOX 1124
Practice Address - Street 2:
Practice Address - City:THREE SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:17264-9730
Practice Address - Country:US
Practice Address - Phone:814-447-5529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0037342255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer