Provider Demographics
NPI:1699231456
Name:MCMURRAY, JAMES (DPT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:MCMURRAY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3809 E AMITY RD STE 125
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-8903
Mailing Address - Country:US
Mailing Address - Phone:208-391-3462
Mailing Address - Fax:208-575-1035
Practice Address - Street 1:3809 E AMITY RD STE 125
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-8903
Practice Address - Country:US
Practice Address - Phone:208-391-3462
Practice Address - Fax:208-575-1035
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-18
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPT-6004225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist