Provider Demographics
NPI:1205193182
Name:MORGAN, TIMOTHY AUNDRA (KT)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:AUNDRA
Last Name:MORGAN
Suffix:
Gender:M
Credentials:KT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E 9TH ST
Mailing Address - Street 2:PM&R 117
Mailing Address - City:BONHAM
Mailing Address - State:TX
Mailing Address - Zip Code:75418-3735
Mailing Address - Country:US
Mailing Address - Phone:903-583-2111
Mailing Address - Fax:
Practice Address - Street 1:201 E 9TH ST
Practice Address - Street 2:PM&R 117
Practice Address - City:BONHAM
Practice Address - State:TX
Practice Address - Zip Code:75418-3735
Practice Address - Country:US
Practice Address - Phone:903-583-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist