MEDICARE: KELSEY L MURPHY DPT

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
1	225100000X	Physical Therapist	05012791A	IN

General Provider Information

NPI Number	:	1225392673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY L MURPHY DPT

Provider Business Mailing Address
First Line	:	625 ENTERPRISE DR
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-8813
Country	:	US
Telephone Number	:	630-575-6250
Fax Number	:	630-575-7450

Provider Business Practice Location Address
First Line	:	10935 E WASHINGTON ST STE F
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-3181
Country	:	US
Telephone Number	:	317-671-8499
Fax Number	:	317-671-8501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2012
Last Update Date	:	01/05/2018

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