Provider Demographics
NPI:1922123827
Name:MORRISON, ELAINE RITTER (PT)
Entity Type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:RITTER
Last Name:MORRISON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 S 975 E
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-9552
Mailing Address - Country:US
Mailing Address - Phone:317-769-6149
Mailing Address - Fax:
Practice Address - Street 1:77 BOONE VLG
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-1231
Practice Address - Country:US
Practice Address - Phone:317-873-2033
Practice Address - Fax:317-873-8934
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05001510A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist