Provider Demographics
NPI:1033261110
Name:MURPHY, GLADYS MARIE
Entity Type:Individual
Prefix:MRS
First Name:GLADYS
Middle Name:MARIE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10772 CO RD 13
Mailing Address - Street 2:
Mailing Address - City:SEBOKA
Mailing Address - State:MN
Mailing Address - Zip Code:56477
Mailing Address - Country:US
Mailing Address - Phone:218-564-4123
Mailing Address - Fax:
Practice Address - Street 1:120 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:PARK RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:56470
Practice Address - Country:US
Practice Address - Phone:218-732-7266
Practice Address - Fax:218-732-0136
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner