Provider Demographics
NPI:1043201809
Name:MORRIS, FRANCINE FAYE (PT)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:FAYE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 DELZAN PL
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3503
Mailing Address - Country:US
Mailing Address - Phone:859-219-2233
Mailing Address - Fax:859-219-3322
Practice Address - Street 1:615 DELZAN PL
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-3503
Practice Address - Country:US
Practice Address - Phone:859-219-2233
Practice Address - Fax:859-219-3322
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY001648225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000060027OtherBC OF LANCASTER
KY000000215122OtherBC OF STANFORD
KY87000014Medicaid
KY000000060027OtherBC OF LANCASTER
KY000000215122OtherBC OF STANFORD