Provider Demographics
NPI:1063256998
Name:MORROW, REAGAN MCKINNEY (PT, ATC)
Entity type:Individual
Prefix:
First Name:REAGAN
Middle Name:MCKINNEY
Last Name:MORROW
Suffix:
Gender:M
Credentials:PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16485 N STADIUM WAY UNIT 2098
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-4388
Mailing Address - Country:US
Mailing Address - Phone:585-750-2654
Mailing Address - Fax:
Practice Address - Street 1:12727 KIMBERLEY LN STE 104
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-4060
Practice Address - Country:US
Practice Address - Phone:713-365-9338
Practice Address - Fax:713-365-9488
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPT-0333732251S0007X
TX13809092251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports