Provider Demographics
NPI:1639368012
Name:BARGER, COURTNEY J (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:J
Last Name:BARGER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 E H ST
Mailing Address - Street 2:PO BOX 1328
Mailing Address - City:MC COOK
Mailing Address - State:NE
Mailing Address - Zip Code:69001-3482
Mailing Address - Country:US
Mailing Address - Phone:308-344-8538
Mailing Address - Fax:308-344-8370
Practice Address - Street 1:608 E C ST
Practice Address - Street 2:
Practice Address - City:MC COOK
Practice Address - State:NE
Practice Address - Zip Code:69001-3836
Practice Address - Country:US
Practice Address - Phone:308-340-8174
Practice Address - Fax:308-344-8370
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1124174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist