Healthcare Provider Details

I. General information

NPI: 1598688004
Provider Name (Legal Business Name): HANNAH KAY MURPHY LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 COLLEGE AVE
BUCKHANNON WV
26201-2600
US

IV. Provider business mailing address

221 N SHIPLEY ST
SEAFORD DE
19973-3122
US

V. Phone/Fax

Practice location:
  • Phone: 304-473-8000
  • Fax:
Mailing address:
  • Phone: 302-245-9037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT002011
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: