Provider Demographics
NPI:1417268319
Name:MORRIS, ALYSON LEA (LMT)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:LEA
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:ALYSON
Other - Middle Name:LEA
Other - Last Name:KINNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:9235 HUNT CLUB LN
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-4316
Mailing Address - Country:US
Mailing Address - Phone:727-364-7426
Mailing Address - Fax:
Practice Address - Street 1:9235 HUNT CLUB LN
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-4316
Practice Address - Country:US
Practice Address - Phone:727-364-7426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA55670225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist