Provider Demographics
NPI:1699027268
Name:MURRAY, ALLYSON ELIZABETH
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:ELIZABETH
Last Name:MURRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 MONTROSE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:NC
Mailing Address - Zip Code:23188-7401
Mailing Address - Country:US
Mailing Address - Phone:919-454-1508
Mailing Address - Fax:
Practice Address - Street 1:116 MONTROSE
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:NC
Practice Address - Zip Code:23188-7401
Practice Address - Country:US
Practice Address - Phone:919-454-1508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-08
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC07267172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist