Individual
BRAD MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1102 SIKES AVE, SIKESTON, MO 63801-5021
(573) 471-5755
Mailing address
1129 STATE ROUTE 1372, BARDWELL, KY 42023-8617
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116500
MO
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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