Provider Demographics
NPI:1346463247
Name:MURPHY, LINDA F (LPT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:F
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:F
Other - Last Name:GIRARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPT
Mailing Address - Street 1:614 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WAKE VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75501-0271
Mailing Address - Country:US
Mailing Address - Phone:903-838-0405
Mailing Address - Fax:
Practice Address - Street 1:6101 N STATE LINE AVE
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-5309
Practice Address - Country:US
Practice Address - Phone:903-791-2270
Practice Address - Fax:903-792-0816
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT1532225100000X
TX1013365225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPT0009244Medicaid