Individual
MATTHEW MORLEY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010651A
IN
225100000X
Physical Therapist
070-016986
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01054941
MEDICARE RAILROAD
IN
Enumeration date
08/06/2009
Last updated
12/24/2024
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