Provider Demographics
NPI:1194229435
Name:MORRISON, ADAM JAMES (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:JAMES
Last Name:MORRISON
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 STATION ST APT 531
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-7442
Mailing Address - Country:US
Mailing Address - Phone:412-715-6458
Mailing Address - Fax:
Practice Address - Street 1:5000 STATION ST APT 531
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-7442
Practice Address - Country:US
Practice Address - Phone:412-715-6458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0064782255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer