Provider Demographics
NPI:1023471810
Name:MCMURDY, AMBER ROSE (LMT)
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:ROSE
Last Name:MCMURDY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1624 ANIMAS ST
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-4368
Mailing Address - Country:US
Mailing Address - Phone:970-209-2267
Mailing Address - Fax:
Practice Address - Street 1:1543 OGDEN RD
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-5683
Practice Address - Country:US
Practice Address - Phone:970-209-2267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT-0016031225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist