Provider Demographics
NPI:1538990601
Name:ZINK, MORGAN MILDRED (PT, DPT)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:MILDRED
Last Name:ZINK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:MILDRED
Other - Last Name:SCHEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:325 E JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:RIPON
Mailing Address - State:WI
Mailing Address - Zip Code:54971-1379
Mailing Address - Country:US
Mailing Address - Phone:920-851-4751
Mailing Address - Fax:
Practice Address - Street 1:845 PARKSIDE ST
Practice Address - Street 2:
Practice Address - City:RIPON
Practice Address - State:WI
Practice Address - Zip Code:54971-8505
Practice Address - Country:US
Practice Address - Phone:920-745-3630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16910-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist