Provider Demographics
NPI:1407613318
Name:MURRAY, JONATHAN THOMAS (LMT)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:THOMAS
Last Name:MURRAY
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12006 VIA FIRENZE LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-7432
Mailing Address - Country:US
Mailing Address - Phone:832-428-6270
Mailing Address - Fax:
Practice Address - Street 1:7111 FM 2920 RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-2208
Practice Address - Country:US
Practice Address - Phone:832-428-6270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT134953225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist