MEDICARE: MR. JONATHAN THOMAS MURRAY LMT

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	225700000X	Massage Therapist	MT134953	TX

General Provider Information

NPI Number	:	1407613318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JONATHAN THOMAS MURRAY LMT

Provider Business Mailing Address
First Line	:	12006 VIA FIRENZE LN
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-7432
Country	:	US
Telephone Number	:	832-428-6270
Fax Number	:

Provider Business Practice Location Address
First Line	:	7111 FM 2920 RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-2208
Country	:	US
Telephone Number	:	832-428-6270
Fax Number	:

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

Provider Enumeration Date	:	03/06/2024
Last Update Date	:	03/06/2024

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