Healthcare Provider Details

I. General information

NPI: 1255248142
Provider Name (Legal Business Name): MARY KATHLEEN MURPHY DOCTOR OF PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2307 W ANDREW JOHNSON HWY STE 110
MORRISTOWN TN
37814-3298
US

IV. Provider business mailing address

113 E MAIN ST APT A
MORRISTOWN TN
37814-4735
US

V. Phone/Fax

Practice location:
  • Phone: 423-616-1084
  • Fax:
Mailing address:
  • Phone: 423-307-3517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number15971
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: