=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164616611
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KRISTI L. MURPHY OTR
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/28/2007
-----------------------------------------------------
Last Update Date | 07/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 144 FM 1252 W
-----------------------------------------------------
City | KILGORE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75662-5093
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-988-1630
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9361 PR 2113
-----------------------------------------------------
City | GILMER
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75645
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-241-1774
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 110338
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 1123
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------