Provider Demographics
NPI:1497122279
Name:VAIRETTA, MORGAN MCBRIDE (DPT, PT)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:MCBRIDE
Last Name:VAIRETTA
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:KELLY
Other - Last Name:MCBRIDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT, PT
Mailing Address - Street 1:230 NEW SHACKLE ISLAND RD STE 120
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-2484
Mailing Address - Country:US
Mailing Address - Phone:615-989-0660
Mailing Address - Fax:615-989-0661
Practice Address - Street 1:230 NEW SHACKLE ISLAND RD STE 120
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2484
Practice Address - Country:US
Practice Address - Phone:615-989-0660
Practice Address - Fax:615-989-0661
Is Sole Proprietor?:No
Enumeration Date:2015-08-27
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist