Provider Demographics
NPI:1225410020
Name:KORTZ, BRITTNEY LEE (DPT)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:LEE
Last Name:KORTZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 THIMBLE SHOALS BLVD STE 400A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4561
Mailing Address - Country:US
Mailing Address - Phone:757-591-2668
Mailing Address - Fax:
Practice Address - Street 1:704 THIMBLE SHOALS BLVD STE 400A
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4561
Practice Address - Country:US
Practice Address - Phone:757-591-2668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305209584225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist