Basic Information
| Provider Information | |||||||||
| NPI: | 1770167496 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WOODS | ||||||||
| FirstName: | MORGAN | ||||||||
| MiddleName: | LYNN | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9009 CROWNE SPRINGS CIR UNIT 100 | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402418129 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5156611838 | ||||||||
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| Practice Location | |||||||||
| Address1: | 910 E MAIN ST | ||||||||
| Address2: | |||||||||
| City: | LINCOLNTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280923449 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7047480616 | ||||||||
| FaxNumber: | 7042409880 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2021 | ||||||||
| LastUpdateDate: | 06/22/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/21/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251P0200X | P20469 | NC | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | 225100000X | 20469 | NC | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.