Provider Demographics
NPI:1568098747
Name:MORRIS, JANA KAY
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:KAY
Last Name:MORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4233 LAVACA DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-3554
Mailing Address - Country:US
Mailing Address - Phone:972-345-6281
Mailing Address - Fax:
Practice Address - Street 1:1101 RAINTREE CIR STE 180
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4923
Practice Address - Country:US
Practice Address - Phone:972-390-7733
Practice Address - Fax:972-390-7738
Is Sole Proprietor?:No
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107003225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist