Provider Demographics
NPI:1497634968
Name:MORSE, SUMMER ELIZABETH KUUPUA LEHIWA OKEKAU
Entity type:Individual
Prefix:
First Name:SUMMER ELIZABETH
Middle Name:KUUPUA LEHIWA OKEKAU
Last Name:MORSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SUMMER
Other - Middle Name:
Other - Last Name:MORSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1751 E GARDNER WAY STE D
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-6564
Mailing Address - Country:US
Mailing Address - Phone:907-631-0776
Mailing Address - Fax:
Practice Address - Street 1:1751 E GARDNER WAY STE D
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-6564
Practice Address - Country:US
Practice Address - Phone:907-631-0776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK241154225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist