Provider Demographics
NPI:1164764924
Name:EXCEPTIONAL PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:EXCEPTIONAL PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:501-249-9607
Mailing Address - Street 1:1102 W SOUTH ST
Mailing Address - Street 2:SUITE 9
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-4053
Mailing Address - Country:US
Mailing Address - Phone:501-778-4224
Mailing Address - Fax:
Practice Address - Street 1:1102 W SOUTH ST
Practice Address - Street 2:SUITE 9
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-4053
Practice Address - Country:US
Practice Address - Phone:501-778-4224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty