MEDICARE: COURTNEY ELIZABETH NG MS, OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	1999137820	MO

General Provider Information

NPI Number	:	1720149438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY ELIZABETH NG MS, OTR/L

Provider Business Mailing Address
First Line	:	2624 SW BLAZING STAR CIR
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64081-3880
Country	:	US
Telephone Number	:	816-813-0369
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 E 23RD ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64129-1103
Country	:	US
Telephone Number	:	816-418-7840
Fax Number	:	816-418-1805

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	02/08/2023

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