Provider Demographics
NPI:1255198768
Name:MORLEY, AUTUMN LILY
Entity type:Individual
Prefix:
First Name:AUTUMN
Middle Name:LILY
Last Name:MORLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 ROLLING HILL CT
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-4856
Mailing Address - Country:US
Mailing Address - Phone:925-276-9472
Mailing Address - Fax:
Practice Address - Street 1:1232 ROLLING HILL CT
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4856
Practice Address - Country:US
Practice Address - Phone:925-276-9472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer