Provider Demographics
NPI:1639845027
Name:HORNE, MORGAN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:HORNE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:PFAFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1127 HELMSDALE DR
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-4740
Mailing Address - Country:US
Mailing Address - Phone:434-660-3323
Mailing Address - Fax:434-509-4566
Practice Address - Street 1:18250 FOREST RD STE 3
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-4688
Practice Address - Country:US
Practice Address - Phone:434-665-0211
Practice Address - Fax:434-509-4566
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305213817225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist