Provider Demographics
NPI:1235667700
Name:HILL, MORGAN (PTA)
Entity Type:Individual
Prefix:MISS
First Name:MORGAN
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 DALY DR
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:IN
Mailing Address - Zip Code:46774-1891
Mailing Address - Country:US
Mailing Address - Phone:260-749-0413
Mailing Address - Fax:260-749-1890
Practice Address - Street 1:1201 DALY DR
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:IN
Practice Address - Zip Code:46774-1891
Practice Address - Country:US
Practice Address - Phone:260-749-0413
Practice Address - Fax:260-749-1890
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2017-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5502005269225200000X
IN06005485A225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant