Provider Demographics
NPI:1124876420
Name:MORGEN KAWAGUCHI, PT, LLC
Entity type:Organization
Organization Name:MORGEN KAWAGUCHI, PT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MORGEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAWAGUCHI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:828-230-3931
Mailing Address - Street 1:68 FRANCES ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILEE
Mailing Address - State:NC
Mailing Address - Zip Code:28806
Mailing Address - Country:US
Mailing Address - Phone:828-206-1300
Mailing Address - Fax:
Practice Address - Street 1:501 COLLEGE ST,
Practice Address - Street 2:SUITE B
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801
Practice Address - Country:US
Practice Address - Phone:828-230-3931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty