Amy Osbahr, OTR/L

Healthcare Professionals

Amy Osbahr, OTR/L

Occupational Therapy

Amy Osbahr, OTR/L joined MRHC as an Occupational Therapist in November of 2023. She has experience treating a wide range of diagnoses for individuals of all ages. Amy provides occupational therapy for children with developmental delays and adults who have difficulties with routine care. She works to get elderly people stronger and back home to be able to live independently.

Certified in many areas, Amy provides neurological rehabilitation (for conditions like strokes, cerebral palsy, and multiple sclerosis) and therapy for orthopedic conditions (managing joint replacements, wrist pain, sprains, fractures, arthritis, and more). She is trained in ASTYM treatment, blood flow restriction therapy (BFR), LSVT-BIG Parkinson’s management, lymphedema treatment, and vestibular rehabilitation. She can perform workstation and ergonomics assessments as well as custom wheelchair assessments.

She also provides pediatric care to ensure children are meeting developmental milestones. Amy has over 10 years of experience treating children for many different conditions resulting in developmental delays such as Autism Spectrum Disorders, cerebral palsy, Down’s Syndrome, juvenile rheumatoid arthritis, as well as sensory issues and head injuries. Some of the difficulties that Amy can address include: 

  • Sensory processing disorder – the inability to respond appropriately to sensory experiences due to our nervous system inaccurately processing sensory information
  • Fine motor skill difficulties (Clumsiness for a child’s given age, inability to grasp objects by 11 months of age, etc., self-care skills, difficulty holding, grooming, eating, and handling utensils; problems with dressing; and difficulty following simple directions.)
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Taylor Nelson, PT, DPT

Taylor Nelson

Healthcare Professionals

Taylor Nelson, PT, DPT

Physical Therapy

Taylor Nelson, PT, DPT, began as the Therapy Director and Physical Therapist at MRHC in 2021. Nelson is a Vestibular Rehabilitation Specialist, which uses an exercise-based program to improve balance and reduce dizziness-related problems. He specializes in orthopedic-type conditions, implementing a multifaceted approach, including hands-on and exercise-based treatments to help patients achieve their therapy goals.

Nelson is dedicated to bringing the hospital to a new level with PT services and having a place for everyone to receive high-quality, evidence-based care. 

After graduating from Central College in 2015 with a degree in Health and Exercise Science, Nelson obtained his Doctor of Physical Therapy degree from the University of New England in 2019. He then worked as a physical therapist at Proactive Physical Therapy in Lewiston, Maine for two years. Nelson and his wife, originally from Exira, then made their transition back to the area.

Meet Taylor

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Amber Croghan, Health Coach

Healthcare Professionals

Amber Croghan, Health Coach

General Family Practice

Amber Croghan, the MRHC Health Coach, ensures that patients are identified and receive preventive care and wellness. This includes Medicare age patients who need an annual wellness visit, preventive care screenings, and a provider visit to ensure seniors are staying well. During the annual wellness visit, problems can be identified and treated before they become complex and require hospitalization. Staying well is the goal.

Amber and the health coach assistant/clinic scheduler work closely to ensure annual wellness visits are scheduled and completed. Transition care management visits or TCM visits are also scheduled by the Health Coach/Health Coach Assistant to ensure patients are recovering and their needs are met after a hospitalization. 

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Sara Powers, ARNP

Healthcare Professionals

Sara Powers, ARNP

General Family Practice

Sara Powers, ARNP, joined the Family Practice Clinic in March 2022 with the intention to offer more same-day appointments. Sara serves as a dedicated provider focused on seeing sick patients.

Originally from Omaha and now residing in Defiance, Iowa, Sara is excited to begin meeting patients. She looks forward to caring for local families and providing a continuum of care from birth until the elderly years.

Meet Sara

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Courtney Rupiper, PA-C

Courtney Rupiper

Healthcare Professionals

Courtney Rupiper, PA-C

General Family Practice

Courtney joined the MRHC Family Practice Clinic as a Certified Physician Assistant in November of 2017. She is a graduate of the University of Northern Iowa and received her PA degree from St. Ambrose University. 

Meet Courtney

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Douglas McLaws, DO

McLaws

Healthcare Professionals

Douglas McLaws, DO

General Family Practice

Dr. McLaws, DO, joined the MRHC Family Practice Clinic in June of 2011 and is board certified in family medicine by the American Board of Family Practice. He graduated from Des Moines University in 1998 and holds an undergraduate degree in Biology and Business Management. His experience ranges from geriatrics along with pediatric and adolescent medicine. He has special interests in preventative medicine and obstetrics as well as specialized training in endoscopic procedures.

Meet Dr. McLaws

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