Provider Demographics
NPI:1023678182
Name:MOREY, JOHNATHAN BARNHART VI (DPT)
Entity type:Individual
Prefix:
First Name:JOHNATHAN
Middle Name:BARNHART
Last Name:MOREY
Suffix:VI
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 BOLL ST APT 2071
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-2766
Mailing Address - Country:US
Mailing Address - Phone:918-809-4014
Mailing Address - Fax:
Practice Address - Street 1:8144 WALNUT HILL LN STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4301
Practice Address - Country:US
Practice Address - Phone:214-346-0677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1318128225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist