Provider Demographics
NPI:1376417378
Name:MORISSETTE, MICHELE (DC, CAC')
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:
Last Name:MORISSETTE
Suffix:
Gender:F
Credentials:DC, CAC'
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2191 NE 1ST CT APT 106
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-2306
Mailing Address - Country:US
Mailing Address - Phone:561-788-1448
Mailing Address - Fax:
Practice Address - Street 1:2191 NE 1ST CT APT 106
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-2306
Practice Address - Country:US
Practice Address - Phone:561-788-1448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14073111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor