Provider Demographics
NPI:1881833457
Name:MORRISON-REED, LISA DENISE
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:DENISE
Last Name:MORRISON-REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CRESTWOOD
Mailing Address - Street 2:
Mailing Address - City:CROSSETT
Mailing Address - State:AR
Mailing Address - Zip Code:71635-3925
Mailing Address - Country:US
Mailing Address - Phone:870-500-3106
Mailing Address - Fax:
Practice Address - Street 1:1507 MAIN ST
Practice Address - Street 2:
Practice Address - City:CROSSETT
Practice Address - State:AR
Practice Address - Zip Code:71635-4125
Practice Address - Country:US
Practice Address - Phone:870-364-5625
Practice Address - Fax:870-364-5499
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-05
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROT-A184224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant