Provider Demographics
NPI:1437856556
Name:MURRAY-CORBAN, SHEILA (LMT)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:MURRAY-CORBAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 BURNT HILL RD
Mailing Address - Street 2:
Mailing Address - City:WARNER
Mailing Address - State:NH
Mailing Address - Zip Code:03278-4501
Mailing Address - Country:US
Mailing Address - Phone:860-716-9548
Mailing Address - Fax:
Practice Address - Street 1:34 BURNT HILL RD
Practice Address - Street 2:
Practice Address - City:WARNER
Practice Address - State:NH
Practice Address - Zip Code:03278-4501
Practice Address - Country:US
Practice Address - Phone:860-716-9548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8222225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH8222OtherSTATE OF NH - LICENSED MASSAGE THERAPIST