Provider Demographics
NPI:1588126833
Name:MORGAN, LIA A (LMT, CPMT)
Entity type:Individual
Prefix:MRS
First Name:LIA
Middle Name:A
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LMT, CPMT
Other - Prefix:
Other - First Name:LIA
Other - Middle Name:A
Other - Last Name:MASCI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT, CPMT
Mailing Address - Street 1:36 MAYWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06010-5919
Mailing Address - Country:US
Mailing Address - Phone:914-356-4561
Mailing Address - Fax:
Practice Address - Street 1:36 MAYWOOD LN
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-5919
Practice Address - Country:US
Practice Address - Phone:914-356-4561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist