Provider Demographics
NPI:1871518332
Name:MURPHY, JANE (MHS, OTR/L, CHT)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MHS, OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6625
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-0625
Mailing Address - Country:US
Mailing Address - Phone:502-721-9410
Mailing Address - Fax:
Practice Address - Street 1:4420 DIXIE HIGHWAY
Practice Address - Street 2:SUITE 122
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-2986
Practice Address - Country:US
Practice Address - Phone:502-447-2750
Practice Address - Fax:502-449-9062
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKYRO595225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand