Provider Demographics
NPI:1609611219
Name:MORRIS, CELENA L (CMT)
Entity type:Individual
Prefix:
First Name:CELENA
Middle Name:L
Last Name:MORRIS
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 HUNTLEY CREEK CT
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-8400
Mailing Address - Country:US
Mailing Address - Phone:303-775-8620
Mailing Address - Fax:
Practice Address - Street 1:119 HUNTLEY CREEK CT
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-8400
Practice Address - Country:US
Practice Address - Phone:303-775-8620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0002983225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist