Provider Demographics
NPI:1356019756
Name:MURRER, BECCA ANN (PT)
Entity Type:Individual
Prefix:
First Name:BECCA
Middle Name:ANN
Last Name:MURRER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1614 TRANQUILITY TRL
Mailing Address - Street 2:
Mailing Address - City:DANDRIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37725-5457
Mailing Address - Country:US
Mailing Address - Phone:502-645-9371
Mailing Address - Fax:
Practice Address - Street 1:5731 SILVERSTONE TER STE 120
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-3594
Practice Address - Country:US
Practice Address - Phone:719-598-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0018351225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist