Provider Demographics
NPI:1285982322
Name:GARRETT, MORGAN LEIGH (PT)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:LEIGH
Last Name:GARRETT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:LEIGH
Other - Last Name:GRUBBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3006 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2027
Mailing Address - Country:US
Mailing Address - Phone:402-280-3555
Mailing Address - Fax:402-280-3557
Practice Address - Street 1:3006 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2027
Practice Address - Country:US
Practice Address - Phone:402-280-3555
Practice Address - Fax:402-280-3557
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070017890225100000X
NE35152251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic