Provider Demographics
NPI:1700263563
Name:MURPHY, SHERAH N (LPTA)
Entity Type:Individual
Prefix:MRS
First Name:SHERAH
Middle Name:N
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:SHERAH
Other - Middle Name:EVE
Other - Last Name:NORTHCUTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19305 AL HIGHWAY 21
Mailing Address - Street 2:
Mailing Address - City:TALLADEGA
Mailing Address - State:AL
Mailing Address - Zip Code:35160-4563
Mailing Address - Country:US
Mailing Address - Phone:256-510-6654
Mailing Address - Fax:
Practice Address - Street 1:1755 WITTINGTON PL
Practice Address - Street 2:STE. #175
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-1927
Practice Address - Country:US
Practice Address - Phone:256-510-6654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTA6206225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant