Individual
KRYSTAL LEE MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(435) 696-5912
Mailing address
941 BURR ST APT E, FORT BENNING, GA 31905-8770
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
PT017083
PA
225100000X
Physical Therapist
Primary
017083
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT017083
PT LICENSE
PA
Enumeration date
02/08/2007
Last updated
04/22/2019
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