MEDICARE: PAUL MURTAGH

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	225200000X	Physical Therapy Assistant	A-0649	NM

General Provider Information

NPI Number	:	1760871552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL MURTAGH

Provider Business Mailing Address
First Line	:	8601 TIERRA BONITA PL NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87122-2840
Country	:	US
Telephone Number	:	505-797-7505
Fax Number	:

Provider Business Practice Location Address
First Line	:	5900 FOREST HILLS DR NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-4129
Country	:	US
Telephone Number	:	505-822-6000
Fax Number	:

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

Provider Enumeration Date	:	01/15/2015
Last Update Date	:	01/15/2015

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Directions to “ PAUL MURTAGH ” Practice Location

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