Healthcare Provider Details

I. General information

NPI: 1508720533
Provider Name (Legal Business Name): JORDAN MURAKAMI DPT
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3149 N HWY 81
DUNCAN OK
73533-9283
US

IV. Provider business mailing address

3149 N HWY 81
DUNCAN OK
73533-9283
US

V. Phone/Fax

Practice location:
  • Phone: 580-359-0596
  • Fax:
Mailing address:
  • Phone: 580-359-0596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: