Provider Demographics
NPI:1417505793
Name:JENKINS, MORGAN BAILY (DPT)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:BAILY
Last Name:JENKINS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:MCNATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 E MAIN ST STE 205
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-3331
Mailing Address - Country:US
Mailing Address - Phone:972-723-5005
Mailing Address - Fax:972-723-5008
Practice Address - Street 1:1000 E MAIN ST STE 205
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-3331
Practice Address - Country:US
Practice Address - Phone:972-723-5005
Practice Address - Fax:972-723-5008
Is Sole Proprietor?:No
Enumeration Date:2019-08-29
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1323891225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist