Provider Demographics
NPI:1083499834
Name:MORRELL, ERIN ALLYN (LMT, CNMT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ALLYN
Last Name:MORRELL
Suffix:
Gender:F
Credentials:LMT, CNMT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:ALLYN
Other - Last Name:KLEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:156 TIOGA TRL
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:CO
Mailing Address - Zip Code:80816-8853
Mailing Address - Country:US
Mailing Address - Phone:719-229-3300
Mailing Address - Fax:
Practice Address - Street 1:3314 MESA RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-1036
Practice Address - Country:US
Practice Address - Phone:719-520-4961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0006845225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist