Provider Demographics
NPI:1740745637
Name:BALLARD, SAVANNAH CLAIRE MORGAN (PT, DPT, LAT, ATC)
Entity type:Individual
Prefix:DR
First Name:SAVANNAH CLAIRE
Middle Name:MORGAN
Last Name:BALLARD
Suffix:
Gender:F
Credentials:PT, DPT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16395 MCKENZIE GRADE
Mailing Address - Street 2:
Mailing Address - City:GEORGIANA
Mailing Address - State:AL
Mailing Address - Zip Code:36033-5822
Mailing Address - Country:US
Mailing Address - Phone:334-429-2188
Mailing Address - Fax:
Practice Address - Street 1:660 MCQUEEN SMITH RD N STE H
Practice Address - Street 2:
Practice Address - City:PRATTVILLE
Practice Address - State:AL
Practice Address - Zip Code:36066-7559
Practice Address - Country:US
Practice Address - Phone:334-350-3362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH11957225100000X
2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist