Provider Demographics
NPI:1225646292
Name:HARDING, MORGAN MAY (DPT)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:MAY
Last Name:HARDING
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:MORGAN
Other - Middle Name:MAY
Other - Last Name:LUND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:990 S OXFORD AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:STURGEON BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54235-2074
Mailing Address - Country:US
Mailing Address - Phone:715-225-6884
Mailing Address - Fax:
Practice Address - Street 1:1300 EGG HARBOR RD
Practice Address - Street 2:
Practice Address - City:STURGEON BAY
Practice Address - State:WI
Practice Address - Zip Code:54235-1277
Practice Address - Country:US
Practice Address - Phone:920-746-0410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-16
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15156-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist