Provider Demographics
NPI:1235969239
Name:MORRIS, SUMMER (DPT)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 W CHANNEL ISLANDS BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT HUENEME
Mailing Address - State:CA
Mailing Address - Zip Code:93041-2130
Mailing Address - Country:US
Mailing Address - Phone:805-250-7505
Mailing Address - Fax:805-250-7171
Practice Address - Street 1:735 W CHANNEL ISLANDS BLVD
Practice Address - Street 2:
Practice Address - City:PORT HUENEME
Practice Address - State:CA
Practice Address - Zip Code:93041-2130
Practice Address - Country:US
Practice Address - Phone:805-250-7505
Practice Address - Fax:805-250-7171
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA306431225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist