Provider Demographics
NPI:1891852745
Name:MURPHY, KAREN LEE (MPT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LEE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 BARCELLUS AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-6901
Mailing Address - Country:US
Mailing Address - Phone:805-922-3558
Mailing Address - Fax:805-922-5548
Practice Address - Street 1:425 BARCELLUS AVE
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-6901
Practice Address - Country:US
Practice Address - Phone:805-922-3558
Practice Address - Fax:805-922-5548
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT23886225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PT238860OtherBLUE SHIELD
CAPT0238860Medicaid
CAPT0238860Medicaid