Provider Demographics
NPI:1053665745
Name:MURPHY, JODY ANN (ATC)
Entity Type:Individual
Prefix:MS
First Name:JODY
Middle Name:ANN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13060 MONTCLAIR DR
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-2002
Mailing Address - Country:US
Mailing Address - Phone:910-384-8610
Mailing Address - Fax:
Practice Address - Street 1:165 TURNBERRY WAY
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8509
Practice Address - Country:US
Practice Address - Phone:910-725-1708
Practice Address - Fax:910-725-1718
Is Sole Proprietor?:No
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC09302255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer