Provider Demographics
NPI:1174999684
Name:TARPLEY, JAMES MARTIN JR (LMT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:MARTIN
Last Name:TARPLEY
Suffix:JR
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 HALEDON AVE
Mailing Address - Street 2:1
Mailing Address - City:HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-1718
Mailing Address - Country:US
Mailing Address - Phone:973-956-5700
Mailing Address - Fax:
Practice Address - Street 1:460 HALEDON AVE
Practice Address - Street 2:1
Practice Address - City:HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-1718
Practice Address - Country:US
Practice Address - Phone:973-956-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT00829400225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist