Provider Demographics
NPI:1922098409
Name:MORRIS, KARA J (PT)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:J
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:J
Other - Last Name:KINKOPH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:2717 S ARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-4725
Mailing Address - Country:US
Mailing Address - Phone:330-245-1372
Mailing Address - Fax:330-245-1793
Practice Address - Street 1:18 TALLMADGE CIR
Practice Address - Street 2:
Practice Address - City:TALLMADGE
Practice Address - State:OH
Practice Address - Zip Code:44278-2305
Practice Address - Country:US
Practice Address - Phone:330-630-0630
Practice Address - Fax:330-630-9799
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH9697225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPT09697OtherOHIO, OT, PT, ATC BOARD
KI4062212Medicare ID - Type Unspecified