Provider Demographics
NPI:1881800852
Name:MORRIS, JENNIFER F (MT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:F
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 BROOK RD
Mailing Address - Street 2:
Mailing Address - City:WAITSFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05673-7318
Mailing Address - Country:US
Mailing Address - Phone:802-496-6680
Mailing Address - Fax:802-329-2050
Practice Address - Street 1:28 SCHOOL ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3166
Practice Address - Country:US
Practice Address - Phone:802-279-5619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist