Provider Demographics
NPI:1497871800
Name:MURPHY, DENNIS TRENTON (ATC)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:TRENTON
Last Name:MURPHY
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 N DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-1208
Mailing Address - Country:US
Mailing Address - Phone:406-360-6282
Mailing Address - Fax:
Practice Address - Street 1:32 CAMPUS DR # AC250
Practice Address - Street 2:RHINEHART ATC
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59812-0003
Practice Address - Country:US
Practice Address - Phone:406-243-6362
Practice Address - Fax:496-243-5981
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT48ATR2255A2300X
MT185735146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic