Provider Demographics
NPI:1700110673
Name:MORRISON, ANNICA (ATC)
Entity Type:Individual
Prefix:MS
First Name:ANNICA
Middle Name:
Last Name:MORRISON
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 EVASHEVSKI DR., 7 RB
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242
Mailing Address - Country:US
Mailing Address - Phone:319-335-9510
Mailing Address - Fax:319-335-8126
Practice Address - Street 1:930 EVASHEVSKI DR., 7 RB
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242
Practice Address - Country:US
Practice Address - Phone:319-335-9510
Practice Address - Fax:319-335-8126
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-25
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0007332255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer