Provider Demographics
NPI:1720534845
Name:MURRAY, BRITTANY KATHLEEN (ATC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:KATHLEEN
Last Name:MURRAY
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17457 BROOKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3488
Mailing Address - Country:US
Mailing Address - Phone:734-718-0192
Mailing Address - Fax:
Practice Address - Street 1:100 PERIMETER RD
Practice Address - Street 2:
Practice Address - City:CLEMSON
Practice Address - State:SC
Practice Address - Zip Code:29632-0001
Practice Address - Country:US
Practice Address - Phone:864-656-1952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17632255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer