Provider Demographics
NPI:1538909551
Name:MURRAY, NICOLE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 E SPRING ST APT B
Mailing Address - Street 2:
Mailing Address - City:WINOOSKI
Mailing Address - State:VT
Mailing Address - Zip Code:05404-1836
Mailing Address - Country:US
Mailing Address - Phone:857-278-0113
Mailing Address - Fax:
Practice Address - Street 1:120 GRAHAM WAY STE 110
Practice Address - Street 2:
Practice Address - City:SHELBURNE
Practice Address - State:VT
Practice Address - Zip Code:05482-7217
Practice Address - Country:US
Practice Address - Phone:802-985-9360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist