Provider Demographics
NPI:1659804813
Name:WHITTAKER-MURPHY, KAREN MARIE (OTR/L, CEAS II)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:WHITTAKER-MURPHY
Suffix:
Gender:F
Credentials:OTR/L, CEAS II
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:MARIE
Other - Last Name:WHITTAKER-CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, CEAS II
Mailing Address - Street 1:1510 CUMBERLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLESBORO
Mailing Address - State:KY
Mailing Address - Zip Code:40965-1223
Mailing Address - Country:US
Mailing Address - Phone:606-302-5474
Mailing Address - Fax:606-302-5418
Practice Address - Street 1:1510 CUMBERLAND AVE
Practice Address - Street 2:
Practice Address - City:MIDDLESBORO
Practice Address - State:KY
Practice Address - Zip Code:40965-1223
Practice Address - Country:US
Practice Address - Phone:606-302-5474
Practice Address - Fax:606-302-5418
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-05
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY134379225X00000X, 225XE1200X, 225XP0019X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics