Provider Demographics
NPI:1518161132
Name:MORRIS, ELLIOTT LESTER JR (LPTA)
Entity Type:Individual
Prefix:
First Name:ELLIOTT
Middle Name:LESTER
Last Name:MORRIS
Suffix:JR
Gender:M
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 GRANITE ST
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01966-1311
Mailing Address - Country:US
Mailing Address - Phone:978-546-5125
Mailing Address - Fax:
Practice Address - Street 1:1364 MAIN ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-1137
Practice Address - Country:US
Practice Address - Phone:781-942-1210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8066225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant