Provider Demographics
NPI:1588094650
Name:LAY, MORGAN (PT)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:LAY
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 1:475 N HIGHWAY 25 W STE 200
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40769-1576
Mailing Address - Country:US
Mailing Address - Phone:606-825-0086
Mailing Address - Fax:606-703-0134
Practice Address - Street 1:475 N HWY. SUITE 200
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:KY
Practice Address - Zip Code:40769-2908
Practice Address - Country:US
Practice Address - Phone:606-825-0086
Practice Address - Fax:606-703-0134
Is Sole Proprietor?:No
Enumeration Date:2013-11-26
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9852225100000X
KY006257225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist