Provider Demographics
NPI:1669174579
Name:MORRIS, MELISSA E
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:E
Last Name:MORRIS
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:PO BOX 1647
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35807-0647
Mailing Address - Country:US
Mailing Address - Phone:256-509-4398
Mailing Address - Fax:800-317-4728
Practice Address - Street 1:802 SHONEY DR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5404
Practice Address - Country:US
Practice Address - Phone:256-509-4397
Practice Address - Fax:800-317-4728
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant