Provider Demographics
NPI:1568613867
Name:MORRIS, STEPHANIE EPPS (DPT)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:EPPS
Last Name:MORRIS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 PELHAM RD
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-3300
Mailing Address - Country:US
Mailing Address - Phone:864-752-3358
Mailing Address - Fax:678-840-2112
Practice Address - Street 1:800 PELHAM RD
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-3300
Practice Address - Country:US
Practice Address - Phone:864-752-3358
Practice Address - Fax:678-840-2112
Is Sole Proprietor?:No
Enumeration Date:2008-10-05
Last Update Date:2008-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5613225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC5613OtherPHYSICAL THERAPIST STATE LICENSE