Provider Demographics
NPI:1477215309
Name:FARRIS, MORGAN (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:FARRIS
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 60TH AVE S
Mailing Address - Street 2:
Mailing Address - City:GRUETLI LAAGER
Mailing Address - State:TN
Mailing Address - Zip Code:37339-5017
Mailing Address - Country:US
Mailing Address - Phone:931-235-2423
Mailing Address - Fax:
Practice Address - Street 1:915 60TH AVE S
Practice Address - Street 2:
Practice Address - City:GRUETLI LAAGER
Practice Address - State:TN
Practice Address - Zip Code:37339-5017
Practice Address - Country:US
Practice Address - Phone:931-319-0003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics