Provider Demographics
NPI:1609527431
Name:WIGGINS, MORGAN E (PTA)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:E
Last Name:WIGGINS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 RAYMOND LAMBERT RD
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE
Mailing Address - State:NC
Mailing Address - Zip Code:28719-8127
Mailing Address - Country:US
Mailing Address - Phone:828-736-2659
Mailing Address - Fax:
Practice Address - Street 1:55 ECHOTA CHURCH RD
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:NC
Practice Address - Zip Code:28719-9702
Practice Address - Country:US
Practice Address - Phone:828-359-6516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA7693225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant