Provider Demographics
NPI:1699285791
Name:GRIFFITTS, MARCY MARIE (ATC)
Entity type:Individual
Prefix:MS
First Name:MARCY
Middle Name:MARIE
Last Name:GRIFFITTS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12686 GEORGE REYBURN RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92845-2407
Mailing Address - Country:US
Mailing Address - Phone:714-609-9031
Mailing Address - Fax:
Practice Address - Street 1:9801 VALLEY VIEW ST
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-3923
Practice Address - Country:US
Practice Address - Phone:714-220-4144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-04
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer