Provider Demographics
NPI:1558145169
Name:MURRAY, BARBARA DEE (PTA)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:DEE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 AGENCY ST APT 87
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601-1991
Mailing Address - Country:US
Mailing Address - Phone:319-759-2537
Mailing Address - Fax:
Practice Address - Street 1:2301 AGENCY ST APT 87
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-1991
Practice Address - Country:US
Practice Address - Phone:319-759-2537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00269225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant