Provider Demographics
NPI:1770083826
Name:MORTON, MEI LILLIAN (PT)
Entity type:Individual
Prefix:
First Name:MEI
Middle Name:LILLIAN
Last Name:MORTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3330 RIDGE PARK CT
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-1201
Mailing Address - Country:US
Mailing Address - Phone:562-357-5963
Mailing Address - Fax:
Practice Address - Street 1:4820 NE 4TH ST STE A104
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98059-4848
Practice Address - Country:US
Practice Address - Phone:425-207-7043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60797243225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist