Provider Demographics
NPI:1508404864
Name:HOKANSON, MORGAN CARR (MS LAT ATC)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:CARR
Last Name:HOKANSON
Suffix:
Gender:F
Credentials:MS LAT ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2638 DUNKIRK CIR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832-4418
Mailing Address - Country:US
Mailing Address - Phone:478-697-3159
Mailing Address - Fax:
Practice Address - Street 1:2638 DUNKIRK CIR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36832-4418
Practice Address - Country:US
Practice Address - Phone:478-697-3159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-18
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAT0035002255A2300X
AL25042255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL2504OtherALABAMA BOARD OF ATHLETIC TRAINERS
GAAT003500OtherGEORGIA BOARD OF ATHLETIC TRAINERS