Provider Demographics
NPI:1508336488
Name:MURPHY, MICHELE KAREN (DPT)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:KAREN
Last Name:MURPHY
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 NELSON LN
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:FL
Mailing Address - Zip Code:32259-8032
Mailing Address - Country:US
Mailing Address - Phone:607-761-3367
Mailing Address - Fax:
Practice Address - Street 1:91 NELSON LN
Practice Address - Street 2:
Practice Address - City:SAINT JOHNS
Practice Address - State:FL
Practice Address - Zip Code:32259-8032
Practice Address - Country:US
Practice Address - Phone:607-761-3367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-04
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043354-1174400000X
FLPT42418225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist