Provider Demographics
NPI:1114799004
Name:MURPHY, VIRGINIA LOUISE (LMT, CLT)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:LOUISE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LMT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 MILL ST STE 8
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-1651
Mailing Address - Country:US
Mailing Address - Phone:781-831-3143
Mailing Address - Fax:
Practice Address - Street 1:51 MILL ST STE 8
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-1651
Practice Address - Country:US
Practice Address - Phone:781-831-3143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA173C00000X
MA12409225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No173C00000XOther Service ProvidersReflexologist