Provider Demographics
NPI:1891976452
Name:MORRIS, ELIZABETH TREAT (PT)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:TREAT
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:ELIZABETH
Other - Middle Name:TREAT
Other - Last Name:BARRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 526186
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84152-6186
Mailing Address - Country:US
Mailing Address - Phone:801-272-3118
Mailing Address - Fax:801-277-9724
Practice Address - Street 1:4177 MATHEWS WAY
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-4021
Practice Address - Country:US
Practice Address - Phone:801-272-3118
Practice Address - Fax:801-277-9724
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-23
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT102085-2401225100000X
UT102733-4701225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist