Individual
MRS. MARTYE MURPHY BLAYLOCK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
2917 KING ST, SUITE A, JONESBORO, AR 72401-5322
(870) 974-9114
(870) 974-9184
Mailing address
2917 KING ST, SUITE A, JONESBORO, AR 72401-5322
(870) 974-9114
(870) 974-9184
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2269
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U493
BLUE CROSS BLUE SHIELD #
AR
Enumeration date
05/11/2006
Last updated
07/09/2007
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