Provider Demographics
NPI:1174299697
Name:BAKER, MORGAN RENEE (ATC)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:RENEE
Last Name:BAKER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1683 ALLISON WAY APT 1
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3083
Mailing Address - Country:US
Mailing Address - Phone:518-832-3961
Mailing Address - Fax:
Practice Address - Street 1:261 BLUESTONE DR # 2301
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807-1009
Practice Address - Country:US
Practice Address - Phone:518-832-3961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-17
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2255A2300X
VA01260039402255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer