Provider Demographics
NPI:1538937602
Name:MORRIS, SUZANNE JUDITH (LMT)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:JUDITH
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:JUDITH
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SUZY MORRIS LMT
Mailing Address - Street 1:1700 KELLER CT
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-7441
Mailing Address - Country:US
Mailing Address - Phone:248-310-3750
Mailing Address - Fax:
Practice Address - Street 1:1404 HAWK PKWY UNIT 217D
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-6410
Practice Address - Country:US
Practice Address - Phone:248-310-3750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0025744225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist