Provider Demographics
NPI:1649576018
Name:MURPHEY, SOPHIA L (PTA)
Entity Type:Individual
Prefix:
First Name:SOPHIA
Middle Name:L
Last Name:MURPHEY
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 1:112 CHAMBERLAIN DR
Mailing Address - Street 2:
Mailing Address - City:HUMBOLDT
Mailing Address - State:TN
Mailing Address - Zip Code:38343-8814
Mailing Address - Country:US
Mailing Address - Phone:731-824-2424
Mailing Address - Fax:731-824-2424
Practice Address - Street 1:670 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-3934
Practice Address - Country:US
Practice Address - Phone:731-541-6226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN869225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant