Provider Demographics
NPI:1053823054
Name:KINNES, MORGAN (DPT)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:
Last Name:KINNES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 833
Mailing Address - Street 2:
Mailing Address - City:THAYNE
Mailing Address - State:WY
Mailing Address - Zip Code:83127-0833
Mailing Address - Country:US
Mailing Address - Phone:970-988-7048
Mailing Address - Fax:
Practice Address - Street 1:94 EMERGER AVENUE
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:WY
Practice Address - Zip Code:83128-3531
Practice Address - Country:US
Practice Address - Phone:307-654-5577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-30
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1592225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist