Provider Demographics
NPI:1245116391
Name:MARTY, MORGAN MARIE (PTA)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:MARIE
Last Name:MARTY
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 1:106 LOVELL LN
Mailing Address - Street 2:
Mailing Address - City:ARNETT
Mailing Address - State:WV
Mailing Address - Zip Code:25007-9535
Mailing Address - Country:US
Mailing Address - Phone:304-890-8464
Mailing Address - Fax:
Practice Address - Street 1:106 LOVELL LN
Practice Address - Street 2:
Practice Address - City:ARNETT
Practice Address - State:WV
Practice Address - Zip Code:25007-9535
Practice Address - Country:US
Practice Address - Phone:304-890-8464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVPTA003008225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant