MEDICARE: BRIAN MURPHY MPT

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	PT1704	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740335215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN MURPHY MPT

Provider Business Mailing Address
First Line	:	2085 E HOSPITALITY LN
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83716-6603
Country	:	US
Telephone Number	:	208-367-1010
Fax Number	:	208-367-1011

Provider Business Practice Location Address
First Line	:	2085 E HOSPITALITY LN
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83716-6603
Country	:	US
Telephone Number	:	208-367-1010
Fax Number	:	208-367-1011

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

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	08/09/2012

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Directions to “ BRIAN MURPHY MPT” Practice Location

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