Provider Demographics
NPI:1780873745
Name:MURPHY, JAMES TIMOTHY (PT,ATC,LAT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:TIMOTHY
Last Name:MURPHY
Suffix:
Gender:M
Credentials:PT,ATC,LAT
Other - Prefix:
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Mailing Address - Street 1:1717 OAK PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-8991
Mailing Address - Country:US
Mailing Address - Phone:337-475-5206
Mailing Address - Fax:337-477-8964
Practice Address - Street 1:BOX 92735
Practice Address - Street 2:MCNEESE STATE UNIVERSITY
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70609-0001
Practice Address - Country:US
Practice Address - Phone:337-475-5206
Practice Address - Fax:337-477-8964
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA100225100000X
LA472255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer