Individual
DR. JON MICHAEL MORRISSETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10965 WINDS CROSSING DR STE 300, CHARLOTTE, NC 28273-2400
(704) 504-2194
(704) 504-2197
Mailing address
PO BOX 38600, CHARLOTTE, NC 28278-1010
(704) 504-2194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10274
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068C2
BCBS
NC
01
—
195578
MEDCOST
NC
01
—
205555042
CORVEL
NC
01
—
2509769
MEDICARE NC
NC
05
—
7212120
—
NC
05
—
TH1743
—
SC
Enumeration date
10/02/2006
Last updated
08/16/2023
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