Provider Demographics
NPI:1245202910
Name:MORRIS, MICHELE A (PT)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:A
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:73 NEWTON RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:PLAISTOW
Mailing Address - State:NH
Mailing Address - Zip Code:03865-2440
Mailing Address - Country:US
Mailing Address - Phone:978-388-7272
Mailing Address - Fax:978-388-7373
Practice Address - Street 1:9 ETHAN ALLEN HWY STE 2
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-6240
Practice Address - Country:US
Practice Address - Phone:203-493-5056
Practice Address - Fax:203-493-5078
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2024-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT003397225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT800003397OtherBLUE CROSS BLUE SHIELD
NYQ21521OtherEMPIRE BLUE CROSS