Provider Demographics
NPI:1225356439
Name:MURPHY, JEANNE MARIAN (ACMT)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:MARIAN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:ACMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20855 VAN ANTWERP ST
Mailing Address - Street 2:
Mailing Address - City:HARPER WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48225-1431
Mailing Address - Country:US
Mailing Address - Phone:313-549-0916
Mailing Address - Fax:
Practice Address - Street 1:20855 VAN ANTWERP ST
Practice Address - Street 2:
Practice Address - City:HARPER WOODS
Practice Address - State:MI
Practice Address - Zip Code:48225-1431
Practice Address - Country:US
Practice Address - Phone:313-549-0916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist