Healthcare Provider Details

I. General information

NPI: 1205882255
Provider Name (Legal Business Name): JUDI MORRIS DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JUDI MORRIS DC

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 8TH ST
COLONIAL BEACH VA
22443-1611
US

IV. Provider business mailing address

PO BOX 1171
KING GEORGE VA
22485-1171
US

V. Phone/Fax

Practice location:
  • Phone: 804-214-9739
  • Fax:
Mailing address:
  • Phone: 804-214-9739
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number0104555958
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: