Provider Demographics
NPI:1104993146
Name:CAMP, MARSHA KAYE (PT)
Entity type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:KAYE
Last Name:CAMP
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3014 WENTWORTH CT
Mailing Address - Street 2:
Mailing Address - City:MURFRESSBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37127
Mailing Address - Country:US
Mailing Address - Phone:615-542-0057
Mailing Address - Fax:615-907-1832
Practice Address - Street 1:1203B MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2420
Practice Address - Country:US
Practice Address - Phone:615-895-4491
Practice Address - Fax:615-907-1832
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN5096225100000X
TNPT50962251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic