Provider Demographics
NPI:1891109344
Name:KRIZ, MORGAN A (DPT)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:A
Last Name:KRIZ
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 1:477 NE GREENWOOD AVE STE B
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-4621
Mailing Address - Country:US
Mailing Address - Phone:541-639-4598
Mailing Address - Fax:855-564-1831
Practice Address - Street 1:477 NE GREENWOOD AVE STE B
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-4621
Practice Address - Country:US
Practice Address - Phone:541-639-4598
Practice Address - Fax:855-564-1831
Is Sole Proprietor?:No
Enumeration Date:2014-06-12
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60453848225100000X, 2251X0800X
WAPT 604538482251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAPT60453848OtherPT LICENSE