Provider Demographics
NPI:1225184278
Name:MORGAN, MICHAEL SING (PT)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:SING
Last Name:MORGAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7116 ANTIOCH RD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-4805
Mailing Address - Country:US
Mailing Address - Phone:225-756-0870
Mailing Address - Fax:225-756-0804
Practice Address - Street 1:7116 ANTIOCH RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-4805
Practice Address - Country:US
Practice Address - Phone:225-756-0870
Practice Address - Fax:225-756-0804
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA01822225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4B588CN66Medicare ID - Type Unspecified