Provider Demographics
NPI:1851092423
Name:MURPHY, VICTORIA LEA (LMT)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:LEA
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 1ST TER STE 207G
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:KS
Mailing Address - Zip Code:66043-1715
Mailing Address - Country:US
Mailing Address - Phone:620-474-6834
Mailing Address - Fax:
Practice Address - Street 1:712 1ST TER STE 207G
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:KS
Practice Address - Zip Code:66043-1715
Practice Address - Country:US
Practice Address - Phone:620-474-6834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13082225700000X
IA091955225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist