Provider Demographics
NPI:1881062578
Name:MORRIS, DEANNA LYNN (RRT)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:LYNN
Last Name:MORRIS
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 18TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66935
Mailing Address - Country:US
Mailing Address - Phone:785-527-8727
Mailing Address - Fax:785-527-8728
Practice Address - Street 1:1331 18TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:KS
Practice Address - Zip Code:66935
Practice Address - Country:US
Practice Address - Phone:785-527-8727
Practice Address - Fax:785-527-8728
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS16-02659227900000X
332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies