Provider Demographics
NPI:1801033956
Name:MORRIS, CARRIE S (PT)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:S
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:S
Other - Last Name:DONOHUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:11805 N CREEK PKWY S
Mailing Address - Street 2:SUITE 113
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-8803
Mailing Address - Country:US
Mailing Address - Phone:425-806-5700
Mailing Address - Fax:425-806-5751
Practice Address - Street 1:18120 BOTHELL WAY NE
Practice Address - Street 2:SUITE A1
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-1943
Practice Address - Country:US
Practice Address - Phone:425-488-6640
Practice Address - Fax:425-488-5424
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00003829225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist