Provider Demographics
NPI:1376619494
Name:MORRIS, PAMELA JEAN (PTA)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:JEAN
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MS
Other - First Name:PAMELA
Other - Middle Name:JEAN
Other - Last Name:HENSLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:287 BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:AUBURNTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37016
Mailing Address - Country:US
Mailing Address - Phone:615-464-4974
Mailing Address - Fax:
Practice Address - Street 1:420 N UNIVERSITY
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130
Practice Address - Country:US
Practice Address - Phone:615-893-2602
Practice Address - Fax:615-890-1224
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3359225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant