Provider Demographics
NPI:1417365610
Name:MORRISON, APRIL PONTZ (DPT)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:PONTZ
Last Name:MORRISON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:
Other - Last Name:PONTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:12951 W GOLDENROD AVE
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-2510
Mailing Address - Country:US
Mailing Address - Phone:208-949-9853
Mailing Address - Fax:
Practice Address - Street 1:12951 W GOLDENROD AVE
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-2510
Practice Address - Country:US
Practice Address - Phone:208-949-9853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID3615225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist