Provider Demographics
NPI:1770824666
Name:MORGAN, DANIELLE BRAZEN (MS, ATC, CES)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:BRAZEN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MS, ATC, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 BLUESTONE DR
Mailing Address - Street 2:MSC 2301, GODWIN HALL 128
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22807-1009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:261 BLUESTONE DR
Practice Address - Street 2:MSC 2301, GODWIN HALL 128
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807-1009
Practice Address - Country:US
Practice Address - Phone:540-568-2550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-03
Last Update Date:2013-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260010212255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer