Provider Demographics
NPI:1164839007
Name:BUCHS, MORGAN ARIEL (PT)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:ARIEL
Last Name:BUCHS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:ARIEL
Other - Last Name:BUCHS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4251 LAHMEYER RD
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46815
Mailing Address - Country:US
Mailing Address - Phone:260-432-4700
Mailing Address - Fax:260-459-9262
Practice Address - Street 1:353 N. GRANDSTAFF DR.
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:IN
Practice Address - Zip Code:46706
Practice Address - Country:US
Practice Address - Phone:260-927-9270
Practice Address - Fax:260-927-9272
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2017-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05011414A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist