Provider Demographics
NPI:1942371232
Name:MURPHY, SONIA (RD)
Entity Type:Individual
Prefix:MS
First Name:SONIA
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5140 WINTERBURG WAY
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-5236
Mailing Address - Country:US
Mailing Address - Phone:614-735-2826
Mailing Address - Fax:
Practice Address - Street 1:2000 KENNY RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-3555
Practice Address - Country:US
Practice Address - Phone:614-293-9778
Practice Address - Fax:614-293-9677
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2015-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD 5849133V00000X
225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered