Provider Demographics
NPI:1508458100
Name:MORRIS, JORDAN HUNTER (PT, DPT, MS)
Entity Type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:HUNTER
Last Name:MORRIS
Suffix:
Gender:M
Credentials:PT, DPT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 WORRAL CT
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-4366
Mailing Address - Country:US
Mailing Address - Phone:540-616-6011
Mailing Address - Fax:
Practice Address - Street 1:4331 CONCORD PIKE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-1461
Practice Address - Country:US
Practice Address - Phone:302-764-2288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0014319225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist