Provider Demographics
NPI:1699192757
Name:LOEPKER, COURTNEY FURMAN (PT)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:FURMAN
Last Name:LOEPKER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:LEE
Other - Last Name:FURMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:10212 W 97TH TER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-5234
Mailing Address - Country:US
Mailing Address - Phone:913-219-4227
Mailing Address - Fax:
Practice Address - Street 1:7700 W 143RD ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-2103
Practice Address - Country:US
Practice Address - Phone:913-624-2854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20130391372251P0200X
KS11047132251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics