Provider Demographics
NPI:1427140342
Name:MORRIS, ADAM DEE (PT)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:DEE
Last Name:MORRIS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 EAST CRESTWOOD RD
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-1445
Mailing Address - Country:US
Mailing Address - Phone:801-444-3440
Mailing Address - Fax:801-444-3413
Practice Address - Street 1:47 EAST CRESTWOOD RD
Practice Address - Street 2:SUITE 2B
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-1445
Practice Address - Country:US
Practice Address - Phone:801-444-3440
Practice Address - Fax:801-444-3413
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5969133-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTP00388672OtherRAILROAD MEDICARE
UT1427140342Medicaid
UT000055200Medicare UPIN
UTU000078255Medicare PIN
UTP00388672OtherRAILROAD MEDICARE
UT000057285Medicare UPIN