Provider Demographics
NPI:1336555283
Name:MURPHEY, CARRIE (LMP)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:MURPHEY
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4204 NOLA LOOP RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-1370
Mailing Address - Country:US
Mailing Address - Phone:509-952-3571
Mailing Address - Fax:509-698-2064
Practice Address - Street 1:506 S 1ST ST STE C
Practice Address - Street 2:
Practice Address - City:SELAH
Practice Address - State:WA
Practice Address - Zip Code:98942-1696
Practice Address - Country:US
Practice Address - Phone:509-952-3571
Practice Address - Fax:509-698-2064
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-10
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60484333225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist