Provider Demographics
NPI:1346524097
Name:BAILEY-MORGAN, CORINA CATHLEEN (LMP)
Entity Type:Individual
Prefix:MRS
First Name:CORINA
Middle Name:CATHLEEN
Last Name:BAILEY-MORGAN
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9510 175TH STREET CT E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98375-2022
Mailing Address - Country:US
Mailing Address - Phone:253-677-6797
Mailing Address - Fax:
Practice Address - Street 1:3323 PACIFIC AVE STE 209
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98418-6914
Practice Address - Country:US
Practice Address - Phone:253-677-6797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00024758163WM1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)