Provider Demographics
NPI:1104022003
Name:MCDANIEL, MORGAN M (PT)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:M
Last Name:MCDANIEL
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:PO BOX 219297
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64121-9297
Mailing Address - Country:US
Mailing Address - Phone:785-273-1047
Mailing Address - Fax:785-273-1047
Practice Address - Street 1:3009 SW TOPEKA BLVD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-2122
Practice Address - Country:US
Practice Address - Phone:785-273-1379
Practice Address - Fax:785-273-1047
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-03710225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist