Provider Demographics
NPI:1902682123
Name:LASH, MORGAN DARBY (PT)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:DARBY
Last Name:LASH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1120 HUFFMAN RD STE 24-779
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-3516
Mailing Address - Country:US
Mailing Address - Phone:907-929-9009
Mailing Address - Fax:907-312-7143
Practice Address - Street 1:11124 OLD SEWARD HWY
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-3122
Practice Address - Country:US
Practice Address - Phone:907-929-9009
Practice Address - Fax:907-312-7143
Is Sole Proprietor?:No
Enumeration Date:2023-09-04
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK213728225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist