Provider Demographics
NPI:1326778119
Name:MORFF, LISA ANN (AAS)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:MORFF
Suffix:
Gender:F
Credentials:AAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 E 15TH ST APT 5
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-1516
Mailing Address - Country:US
Mailing Address - Phone:612-469-2742
Mailing Address - Fax:
Practice Address - Street 1:14665 GALAXIE AVE STE 110
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-4509
Practice Address - Country:US
Practice Address - Phone:612-562-6694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist