Provider Demographics
NPI:1669205688
Name:MORRISON, CHRISTIAN M (PT, DPT)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:M
Last Name:MORRISON
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CHRISTIAN
Other - Middle Name:MICHAEL
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:801 A ST APT 619
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-4685
Mailing Address - Country:US
Mailing Address - Phone:267-370-7500
Mailing Address - Fax:
Practice Address - Street 1:1333 CAMINO DEL RIO S STE 103
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3520
Practice Address - Country:US
Practice Address - Phone:619-501-2195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA306594225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist