Provider Demographics
NPI:1730762501
Name:MURPHY, LAUREN DAVIS (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:DAVIS
Last Name:MURPHY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:DAVIS
Other - Last Name:OLLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:221 SADDLEBROOK WAY
Mailing Address - Street 2:
Mailing Address - City:ALVATON
Mailing Address - State:KY
Mailing Address - Zip Code:42122-9723
Mailing Address - Country:US
Mailing Address - Phone:270-779-2310
Mailing Address - Fax:
Practice Address - Street 1:5079 SCOTTSVILLE RD
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-7897
Practice Address - Country:US
Practice Address - Phone:270-782-1125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-30
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY248056225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist