Provider Demographics
NPI:1437669868
Name:MURAT, CHRISTY L (BSW, MHRS, CPRC)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:L
Last Name:MURAT
Suffix:
Gender:F
Credentials:BSW, MHRS, CPRC
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:L
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW, MHRS, CPRC
Mailing Address - Street 1:PO BOX 2651
Mailing Address - Street 2:
Mailing Address - City:FORT BRAGG
Mailing Address - State:CA
Mailing Address - Zip Code:95437-2651
Mailing Address - Country:US
Mailing Address - Phone:707-659-6301
Mailing Address - Fax:
Practice Address - Street 1:780 S DORA ST
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-5348
Practice Address - Country:US
Practice Address - Phone:707-467-9065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-12
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner