Provider Demographics
NPI:1093332793
Name:MORRISON, NICOLE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:
Last Name:MORRISON
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 1:165 MCCASLIN BLVD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9462
Mailing Address - Country:US
Mailing Address - Phone:303-604-6441
Mailing Address - Fax:303-957-1955
Practice Address - Street 1:165 MCCASLIN BLVD UNIT B
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-9463
Practice Address - Country:US
Practice Address - Phone:303-604-6441
Practice Address - Fax:303-957-1955
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0011308208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation