Individual
LISA B MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA FMT
Contact information
Practice address
9301 W HIGHWAY 316, REDDICK, FL 32686-3054
(352) 949-4012
Mailing address
9301 W HIGHWAY 316, REDDICK, FL 32686-3054
(352) 949-4012
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
225800000X
Recreation Therapist
—
—
246Z00000X
Other Specialist/Technologist
—
—
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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