Provider Demographics
NPI:1235291584
Name:MORRIS, JAMES BRIAN (PT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:BRIAN
Last Name:MORRIS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 803
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:KY
Mailing Address - Zip Code:41339-0803
Mailing Address - Country:US
Mailing Address - Phone:606-666-9293
Mailing Address - Fax:606-666-9220
Practice Address - Street 1:695 KENTUCKY HIGHWAY 15 NORTH
Practice Address - Street 2:SUITE 3
Practice Address - City:JACKSON
Practice Address - State:KY
Practice Address - Zip Code:41339-0803
Practice Address - Country:US
Practice Address - Phone:606-666-9293
Practice Address - Fax:606-666-9220
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY4578225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist