Provider Demographics
NPI:1649905514
Name:MORSE, CALEB (NASM-CPT, NASM-CSN)
Entity type:Individual
Prefix:
First Name:CALEB
Middle Name:
Last Name:MORSE
Suffix:
Gender:M
Credentials:NASM-CPT, NASM-CSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 W LAUREL ST UNIT 210
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-2930
Mailing Address - Country:US
Mailing Address - Phone:708-446-9052
Mailing Address - Fax:
Practice Address - Street 1:406 W LAUREL ST UNIT 210
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-2930
Practice Address - Country:US
Practice Address - Phone:708-446-9052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-23
Last Update Date:2022-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONASM133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist