Provider Demographics
NPI:1861680100
Name:URTON-SMITH, MARJORIE L (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MARJORIE
Middle Name:L
Last Name:URTON-SMITH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MARJORIE
Other - Middle Name:LEE
Other - Last Name:URTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6732 NW SIOUX DRIVE
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-1236
Mailing Address - Country:US
Mailing Address - Phone:816-506-9226
Mailing Address - Fax:913-894-1174
Practice Address - Street 1:1211 N. BELT HIGHWAY
Practice Address - Street 2:SUITE 205
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506
Practice Address - Country:US
Practice Address - Phone:816-364-0900
Practice Address - Fax:913-894-1174
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-02449225XG0600X, 225XP0019X
MO2007028211225X00000X, 225XP0019X, 225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist