Provider Demographics
NPI:1992756878
Name:MURPHY, HAROLD WILLIAM III (PT)
Entity type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:WILLIAM
Last Name:MURPHY
Suffix:III
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5039 PARK AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-5701
Mailing Address - Country:US
Mailing Address - Phone:901-818-9746
Mailing Address - Fax:901-818-9741
Practice Address - Street 1:5039 PARK AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-5701
Practice Address - Country:US
Practice Address - Phone:901-818-9746
Practice Address - Fax:901-818-9741
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6655225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN127137Medicaid
TN446628Medicare PIN