Provider Demographics
NPI:1942363148
Name:WRIGHT, MORRIS JIMMIE (DC)
Entity Type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:JIMMIE
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 910267
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84791
Mailing Address - Country:US
Mailing Address - Phone:435-652-1556
Mailing Address - Fax:
Practice Address - Street 1:10 DIAGONAL ST
Practice Address - Street 2:STE 204
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-2817
Practice Address - Country:US
Practice Address - Phone:208-371-8690
Practice Address - Fax:435-652-1592
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1157111N00000X
UT6706742-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor