Individual
DATASSA O MORRISSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
17210 KENYON AVE, LAKEVILLE, MN 55044-6903
(651) 968-5201
Mailing address
17210 KENYON AVE., LAKEVILLE, MN 55044
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
04/13/2022
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