Provider Demographics
NPI:1679879266
Name:BROPHY, ANISA (NCMT)
Entity Type:Individual
Prefix:MS
First Name:ANISA
Middle Name:
Last Name:BROPHY
Suffix:
Gender:F
Credentials:NCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 SPRING RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-1157
Mailing Address - Country:US
Mailing Address - Phone:717-243-5444
Mailing Address - Fax:717-243-8578
Practice Address - Street 1:1921 SPRING RD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-1157
Practice Address - Country:US
Practice Address - Phone:717-243-5444
Practice Address - Fax:717-243-8578
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-31
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist