Provider Demographics
NPI:1497498067
Name:HASTINGS, MORGAN (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1246 32ND AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-1649
Mailing Address - Country:US
Mailing Address - Phone:320-230-8920
Mailing Address - Fax:320-230-8922
Practice Address - Street 1:1246 32ND AVE N
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-1649
Practice Address - Country:US
Practice Address - Phone:320-230-8920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist