Provider Demographics
NPI:1467537837
Name:MURLEY, MARILYN BORDERS (MED)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:BORDERS
Last Name:MURLEY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-1864
Mailing Address - Country:US
Mailing Address - Phone:270-769-5680
Mailing Address - Fax:270-769-5680
Practice Address - Street 1:223 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-1864
Practice Address - Country:US
Practice Address - Phone:270-769-5680
Practice Address - Fax:270-769-5680
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY000036565222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist