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NPI Code Detail

MEDICARE: SAMANTHA MURPHY

MEDICARE:   SAMANTHA  MURPHY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant5024MN

General Provider Information

NPI Number : 1184332827
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA MURPHY
Provider Business Mailing Address
First Line : 1687 HIDDEN TRL
Second Line :
City : MAYER
State : MN
Zip : 55360-4513
Country : US
Telephone Number : 525-647-5699
Fax Number :
Provider Business Practice Location Address
First Line : 275 PENN AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55405-1216
Country : US
Telephone Number : 612-377-4723
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2022
Last Update Date : 11/11/2022

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Directions to “ SAMANTHA MURPHY ” Practice Location

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