Healthcare Provider Details
I. General information
NPI: 1902700479
Provider Name (Legal Business Name): EMILY MURPHY CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
207 S HALCYON RD
ARROYO GRANDE CA
93420-3117
US
IV. Provider business mailing address
2341 OCEAN ST
OCEANO CA
93445-8904
US
V. Phone/Fax
- Phone: 805-481-9696
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | 70792 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: