Basic Information
| Provider Information | |||||||||
| NPI: | 1093048670 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MURPHY | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | TYLER | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3800 WOODLAND PARK AVE N | ||||||||
| Address2: | STE 100 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981037943 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2067898869 | ||||||||
| FaxNumber: | 2067898873 | ||||||||
| Practice Location | |||||||||
| Address1: | 3800 WOODLAND PARK AVE N | ||||||||
| Address2: | STE 100 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981037943 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063520105 | ||||||||
| FaxNumber: | 2063520106 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/14/2009 | ||||||||
| LastUpdateDate: | 09/20/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT60099183 | WA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 1093048670 | 05 | WA | MEDICAID |