Provider Demographics
NPI:1013516020
Name:MORRISON, JOSEY K (LMT)
Entity Type:Individual
Prefix:
First Name:JOSEY
Middle Name:K
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:JOSEY
Other - Middle Name:K
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 197
Mailing Address - Street 2:
Mailing Address - City:FREDONIA
Mailing Address - State:AZ
Mailing Address - Zip Code:86022
Mailing Address - Country:US
Mailing Address - Phone:435-851-1704
Mailing Address - Fax:
Practice Address - Street 1:1485 EAST 3200 SOUTH
Practice Address - Street 2:
Practice Address - City:CANE BEDS
Practice Address - State:AZ
Practice Address - Zip Code:86022
Practice Address - Country:US
Practice Address - Phone:801-921-0875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10206915-4701225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist