Provider Demographics
NPI:1386337715
Name:MURPHY, RACHEL (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ELLIE
Other - Middle Name:
Other - Last Name:LANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1984 E 505TH RD
Mailing Address - Street 2:
Mailing Address - City:HALF WAY
Mailing Address - State:MO
Mailing Address - Zip Code:65663-9252
Mailing Address - Country:US
Mailing Address - Phone:417-496-1367
Mailing Address - Fax:
Practice Address - Street 1:1235 E CHEROKEE ST # MO
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-2203
Practice Address - Country:US
Practice Address - Phone:417-829-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023000198225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist