Provider Demographics
NPI:1487375408
Name:HAMMONDS, MORGAN RAE (PTA)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:RAE
Last Name:HAMMONDS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 THEYS MILL WAY
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-4790
Mailing Address - Country:US
Mailing Address - Phone:352-281-1310
Mailing Address - Fax:
Practice Address - Street 1:54 RED MULBERRY WAY
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-9633
Practice Address - Country:US
Practice Address - Phone:910-814-8030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA6778225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant