Provider Demographics
NPI:1700692803
Name:MORRISON, MEGHAN (LMT)
Entity type:Individual
Prefix:MR
First Name:MEGHAN
Middle Name:
Last Name:MORRISON
Suffix:
Gender:X
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ALADDIN CIR APT 5
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-4308
Mailing Address - Country:US
Mailing Address - Phone:860-327-2511
Mailing Address - Fax:603-857-1314
Practice Address - Street 1:22 GREELEY ST UNIT 24
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-4429
Practice Address - Country:US
Practice Address - Phone:603-852-1168
Practice Address - Fax:603-857-1314
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7599225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist