Provider Demographics
NPI:1467265488
Name:HOUGHTON, MORGAN COLONY (LMT)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:COLONY
Last Name:HOUGHTON
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25619 SE TIGER MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-8357
Mailing Address - Country:US
Mailing Address - Phone:206-902-7045
Mailing Address - Fax:
Practice Address - Street 1:2737 77TH AVE SE STE 214
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2832
Practice Address - Country:US
Practice Address - Phone:206-518-9405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61003219225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist