Provider Demographics
NPI:1457158511
Name:POINDEXTER, MORGAN RUTH
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:RUTH
Last Name:POINDEXTER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4628 COURTNEY HUNTSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:YADKINVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27055-8629
Mailing Address - Country:US
Mailing Address - Phone:336-469-2743
Mailing Address - Fax:
Practice Address - Street 1:440 INGRAM DR
Practice Address - Street 2:
Practice Address - City:KING
Practice Address - State:NC
Practice Address - Zip Code:27021-8208
Practice Address - Country:US
Practice Address - Phone:336-983-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist