MEDICARE: VENESSA MORRIS

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
1	225700000X	Massage Therapist	8604	CO

General Provider Information

NPI Number	:	1487971255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VENESSA MORRIS

Provider Business Mailing Address
First Line	:	1120 LINCOLN STREET
Second Line	:	SUITE 1507
City	:	DENVER
State	:	CO
Zip	:	80203
Country	:	US
Telephone Number	:	303-832-7070
Fax Number	:	303-830-9709

Provider Business Practice Location Address
First Line	:	1120 LINCOLN STREET
Second Line	:	SUITE 1507
City	:	DENVER
State	:	CO
Zip	:	80203
Country	:	US
Telephone Number	:	303-832-7070
Fax Number	:	303-830-9709

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2010
Last Update Date	:	02/23/2012

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Directions to “ VENESSA MORRIS ” Practice Location

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