Provider Demographics
NPI:1578525788
Name:MORRIS, WILLIAM M III (MS, PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:M
Last Name:MORRIS
Suffix:III
Gender:M
Credentials:MS, PT, DPT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1317 OAKDALE RD
Mailing Address - Street 2:STE. #410
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-3364
Mailing Address - Country:US
Mailing Address - Phone:209-576-7715
Mailing Address - Fax:209-576-1905
Practice Address - Street 1:1317 OAKDALE RD
Practice Address - Street 2:STE. #410
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-3364
Practice Address - Country:US
Practice Address - Phone:209-576-7715
Practice Address - Fax:209-576-1905
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA0PT115990225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PT115990OtherLICENSE #
CAR24519Medicare UPIN