Provider Demographics
NPI:1801956446
Name:MURPHY, MARCI FARRELL (MS, ATC, CSCS)
Entity type:Individual
Prefix:MS
First Name:MARCI
Middle Name:FARRELL
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MS, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 DUCK LN
Mailing Address - Street 2:
Mailing Address - City:KINDERHOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12106-2112
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:45 FERRY ST
Practice Address - Street 2:ATHLETIC DEPARTMENT - THE SAGE COLLEGES
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-4115
Practice Address - Country:US
Practice Address - Phone:518-244-2420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000305-12255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer