Provider Demographics
NPI:1194392266
Name:MURRAY, ERIN (LMBT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11916 BRYTON PASS LN APT 2108
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3783
Mailing Address - Country:US
Mailing Address - Phone:980-483-3802
Mailing Address - Fax:
Practice Address - Street 1:9747 SAM FURR RD STE 13
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-4959
Practice Address - Country:US
Practice Address - Phone:980-483-3802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist