Provider Demographics
NPI:1942419353
Name:MORRIS, MUFFIN ELAINE (EDD, ATC)
Entity Type:Individual
Prefix:MISS
First Name:MUFFIN
Middle Name:ELAINE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:EDD, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 11 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NE
Mailing Address - Zip Code:68787
Mailing Address - Country:US
Mailing Address - Phone:402-375-7700
Mailing Address - Fax:
Practice Address - Street 1:11 11 MAIN STREET
Practice Address - Street 2:WAYNE STATE COLLEGE
Practice Address - City:WAYNE
Practice Address - State:NE
Practice Address - Zip Code:68787
Practice Address - Country:US
Practice Address - Phone:402-375-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD02502255A2300X
NE483247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer