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NPI Code Detail

MEDICARE: ELAINE S MORRISON LMT

MEDICARE: ELAINE S MORRISON LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMAT10035HI

General Provider Information

NPI Number : 1205013489
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE S MORRISON LMT
Provider Business Mailing Address
First Line : 78-7070 ALII DR
Second Line : A103
City : KAILUA KONA
State : HI
Zip : 96740-2562
Country : US
Telephone Number : 808-324-6160
Fax Number :
Provider Business Practice Location Address
First Line : 75-166 KALANI ST
Second Line : SUITE 203
City : KAILUA KONA
State : HI
Zip : 96740-1857
Country : US
Telephone Number : 808-329-5155
Fax Number : 808-329-2726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2008
Last Update Date : 01/30/2008

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Directions to “ ELAINE S MORRISON LMT” Practice Location

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