Provider Demographics
NPI:1699454314
Name:MORRISON, SARAH (BS, LMT, MMP, BCTMB)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MORRISON
Suffix:
Gender:F
Credentials:BS, LMT, MMP, BCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 CAMPBELL ST
Mailing Address - Street 2:
Mailing Address - City:FORKS
Mailing Address - State:WA
Mailing Address - Zip Code:98331-9753
Mailing Address - Country:US
Mailing Address - Phone:361-229-1281
Mailing Address - Fax:
Practice Address - Street 1:164 S FORKS AVE
Practice Address - Street 2:
Practice Address - City:FORKS
Practice Address - State:WA
Practice Address - Zip Code:98331
Practice Address - Country:US
Practice Address - Phone:361-229-1281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61178822225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist