Provider Demographics
NPI:1548998834
Name:MCCURRY, KORI ANNE (OTR/L)
Entity type:Individual
Prefix:
First Name:KORI
Middle Name:ANNE
Last Name:MCCURRY
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 1:5338 S 154TH RD
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MO
Mailing Address - Zip Code:65617-7145
Mailing Address - Country:US
Mailing Address - Phone:417-399-5173
Mailing Address - Fax:
Practice Address - Street 1:5338 S 154TH RD
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MO
Practice Address - Zip Code:65617-7145
Practice Address - Country:US
Practice Address - Phone:417-399-5173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022002567225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist