Provider Demographics
NPI:1316421878
Name:MORGAN, SHEILA A (LMT)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:A
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2751 OLD BLUEFIELD RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24739-9019
Mailing Address - Country:US
Mailing Address - Phone:304-431-3535
Mailing Address - Fax:
Practice Address - Street 1:2751 OLD BLUEFIELD RD
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24739-9019
Practice Address - Country:US
Practice Address - Phone:304-431-3535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2001-0742225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist