Provider Demographics
NPI:1790185148
Name:MORGAN, DANIELLE KRISTIN (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:KRISTIN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:KRISTIN
Other - Last Name:KNAUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:96 UTICA RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NY
Mailing Address - Zip Code:13323-1515
Mailing Address - Country:US
Mailing Address - Phone:315-272-6520
Mailing Address - Fax:
Practice Address - Street 1:96 UTICA RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NY
Practice Address - Zip Code:13323-1515
Practice Address - Country:US
Practice Address - Phone:315-272-6520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-03
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036796-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist