Provider Demographics
NPI:1962537944
Name:MURPHY, MICHAEL KEVIN SR (ATC, LAT, CSCS)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:KEVIN
Last Name:MURPHY
Suffix:SR
Gender:M
Credentials:ATC, LAT, CSCS
Other - Prefix:
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Mailing Address - Street 1:98 CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-1927
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:412 HALE STREET
Practice Address - Street 2:
Practice Address - City:PRIDES CROSSING
Practice Address - State:MA
Practice Address - Zip Code:01965
Practice Address - Country:US
Practice Address - Phone:978-236-3233
Practice Address - Fax:978-921-0361
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA5252255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer