Provider Demographics
NPI:1386779007
Name:MURPHY, SUSAN E (RPT, ATC)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:E
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-1443
Mailing Address - Country:US
Mailing Address - Phone:802-443-5641
Mailing Address - Fax:802-443-2094
Practice Address - Street 1:219 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-1443
Practice Address - Country:US
Practice Address - Phone:802-443-5641
Practice Address - Fax:802-443-2094
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040-00009122251X0800X
VT104-00000082255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Not Answered2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer