Provider Demographics
NPI:1558526467
Name:MORGAN, HAROLD S (PT)
Entity Type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:S
Last Name:MORGAN
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:5971 JEFFERSON ST NE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3455
Mailing Address - Country:US
Mailing Address - Phone:505-948-4555
Mailing Address - Fax:505-761-0025
Practice Address - Street 1:5971 JEFFERSON ST NE
Practice Address - Street 2:SUITE 102
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3455
Practice Address - Country:US
Practice Address - Phone:505-948-4555
Practice Address - Fax:505-761-0025
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2015-07-17
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Provider Licenses
StateLicense IDTaxonomies
NM3541225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMQ0406Medicaid
NMQ0406Medicaid