Provider Demographics
NPI:1700336534
Name:MORTON, ANNE (MS, ATC, LAT)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:MORTON
Suffix:
Gender:F
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7549 STONEBROOK PKWY APT 2305
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-5497
Mailing Address - Country:US
Mailing Address - Phone:903-288-5008
Mailing Address - Fax:
Practice Address - Street 1:7549 STONEBROOK PKWY APT 2305
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5497
Practice Address - Country:US
Practice Address - Phone:903-288-5008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-05
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT39182255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer