Provider Demographics
NPI:1235432840
Name:MURPHY, KATHLEEN MCDEVITT (PT,DPT)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:MCDEVITT
Last Name:MURPHY
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 1:50 REPUBLIC AVE
Mailing Address - Street 2:
Mailing Address - City:TOPSHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04086-1136
Mailing Address - Country:US
Mailing Address - Phone:207-729-1557
Mailing Address - Fax:
Practice Address - Street 1:50 REPUBLIC AVE
Practice Address - Street 2:
Practice Address - City:TOPSHAM
Practice Address - State:ME
Practice Address - Zip Code:04086-1136
Practice Address - Country:US
Practice Address - Phone:207-729-1557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-21
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT9162251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics