Provider Demographics
NPI:1659565422
Name:MORRISON, GUY ALAN (RPT, DC)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:ALAN
Last Name:MORRISON
Suffix:
Gender:M
Credentials:RPT, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1121 W COLUMBINE AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-3833
Mailing Address - Country:US
Mailing Address - Phone:714-754-0467
Mailing Address - Fax:714-957-1347
Practice Address - Street 1:1121 W COLUMBINE AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-3833
Practice Address - Country:US
Practice Address - Phone:714-754-0467
Practice Address - Fax:714-957-1347
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2007-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20322111NX0800X
CA73342251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No111NX0800XChiropractic ProvidersChiropractorOrthopedic