Provider Demographics
NPI:1790129690
Name:MORRELL, VALARIE S (RMT)
Entity Type:Individual
Prefix:
First Name:VALARIE
Middle Name:S
Last Name:MORRELL
Suffix:
Gender:F
Credentials:RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3769 S DAYTON WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-7256
Mailing Address - Country:US
Mailing Address - Phone:720-261-5488
Mailing Address - Fax:
Practice Address - Street 1:9220 TEDDY LN
Practice Address - Street 2:SUITE 1000
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6740
Practice Address - Country:US
Practice Address - Phone:720-261-5488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0005493225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist