Provider Demographics
NPI:1346816287
Name:THOMPSON, MORGAN SYDNEY
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:SYDNEY
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 ROYAL OAK DR
Mailing Address - Street 2:
Mailing Address - City:BARDSTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40004-9148
Mailing Address - Country:US
Mailing Address - Phone:502-827-2665
Mailing Address - Fax:
Practice Address - Street 1:1001 ROYAL OAK DR
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-9148
Practice Address - Country:US
Practice Address - Phone:502-827-2665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer