Individual
MITZI MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
509 ELM ST, MARTIN, TN 38237-3407
(270) 627-1247
Mailing address
1308 HARRISON ST, PO BOX 13, HICKMAN, KY 42050
(270) 627-1247
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
105006
TN
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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