Individual
ELEANOR MORSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, NASM-PES
Contact information
Practice address
400 FENWAY, BOSTON, MA 02115-5725
(661) 204-2051
Mailing address
121 GROVE ST APT 9, WEST ROXBURY, MA 02132-4535
(661) 204-2051
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1649
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649
MASSACHUSETTES HEALTH CARE PROVIDER LICENSED ATHLETIC TRAINER
MA
Enumeration date
07/17/2006
Last updated
08/17/2012
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