Provider Demographics
NPI:1679169668
Name:MORROW, MELLISSA ANN (LMT)
Entity type:Individual
Prefix:MS
First Name:MELLISSA
Middle Name:ANN
Last Name:MORROW
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2255 QUEENS WAY
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-5425
Mailing Address - Country:US
Mailing Address - Phone:727-798-7625
Mailing Address - Fax:
Practice Address - Street 1:2255 QUEENS WAY
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-5425
Practice Address - Country:US
Practice Address - Phone:727-798-7625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL398249225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist