Provider Demographics
NPI:1932760659
Name:FRISBIE, MORGAN BRIANNE (ATC)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:BRIANNE
Last Name:FRISBIE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 E 200 S
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-3312
Mailing Address - Country:US
Mailing Address - Phone:435-609-9372
Mailing Address - Fax:
Practice Address - Street 1:441 E 200 S
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-3312
Practice Address - Country:US
Practice Address - Phone:435-609-9372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer