Provider Demographics
NPI:1235866443
Name:MORRISON, REED ALAN
Entity Type:Individual
Prefix:MR
First Name:REED
Middle Name:ALAN
Last Name:MORRISON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7230 ARBUCKLE CMNS STE 252
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-1798
Mailing Address - Country:US
Mailing Address - Phone:765-225-9229
Mailing Address - Fax:
Practice Address - Street 1:7230 ARBUCKLE CMNS STE 252
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-1798
Practice Address - Country:US
Practice Address - Phone:765-225-9229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-07
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INMT21906814225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist