Provider Demographics
NPI:1801484761
Name:WILCOX, MORGAN JUSTINE (PT, DPT)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:JUSTINE
Last Name:WILCOX
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:JUSTINE
Other - Last Name:THONHOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14190 ORCHARD PKWY STE 250
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80023-9708
Mailing Address - Country:US
Mailing Address - Phone:720-497-6666
Mailing Address - Fax:720-497-6777
Practice Address - Street 1:14190 ORCHARD PKWY STE 250
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80023-9708
Practice Address - Country:US
Practice Address - Phone:720-497-6666
Practice Address - Fax:720-497-6777
Is Sole Proprietor?:No
Enumeration Date:2021-01-06
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0017437225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist