Provider Demographics
NPI:1750586475
Name:MORRISON, KATHRYN LYNN (PT)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:LYNN
Last Name:MORRISON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:KATHRYN
Other - Middle Name:LYNN
Other - Last Name:POSCHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:84 CARTER RD
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04032-6889
Mailing Address - Country:US
Mailing Address - Phone:207-756-5772
Mailing Address - Fax:
Practice Address - Street 1:7 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:ME
Practice Address - Zip Code:04033-0001
Practice Address - Country:US
Practice Address - Phone:207-552-7453
Practice Address - Fax:207-552-7129
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME3012225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist