Provider Demographics
NPI:1720149438
Name:NG, COURTNEY ELIZABETH (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ELIZABETH
Last Name:NG
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2624 SW BLAZING STAR CIR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-3880
Mailing Address - Country:US
Mailing Address - Phone:816-813-0369
Mailing Address - Fax:
Practice Address - Street 1:6400 E 23RD ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64129-1103
Practice Address - Country:US
Practice Address - Phone:816-418-7840
Practice Address - Fax:816-418-1805
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1999137820174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist