Provider Demographics
NPI:1265143762
Name:MORRIS, GARRETT CAMERON (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:GARRETT
Middle Name:CAMERON
Last Name:MORRIS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 BUCKINGHORSE DR
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95376-8741
Mailing Address - Country:US
Mailing Address - Phone:209-207-8645
Mailing Address - Fax:
Practice Address - Street 1:855 S TRACY BLVD
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-4744
Practice Address - Country:US
Practice Address - Phone:209-627-1383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist