Provider Demographics
NPI:1124536156
Name:BIBLE, COURTNEY (PT)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:BIBLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:CLEVENGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 W NORTH ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:IN
Mailing Address - Zip Code:47371-1153
Mailing Address - Country:US
Mailing Address - Phone:260-726-6828
Mailing Address - Fax:
Practice Address - Street 1:111 W NORTH ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:IN
Practice Address - Zip Code:47371-1153
Practice Address - Country:US
Practice Address - Phone:260-726-6828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-11
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist