Provider Demographics
NPI:1336668847
Name:ZAMORA, KOURTNEY KAYE (LAC)
Entity Type:Individual
Prefix:
First Name:KOURTNEY
Middle Name:KAYE
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17787 N PERIMETER DR STE A101
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5454
Mailing Address - Country:US
Mailing Address - Phone:602-935-9956
Mailing Address - Fax:
Practice Address - Street 1:17787 N PERIMETER DR STE A101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5454
Practice Address - Country:US
Practice Address - Phone:602-935-9956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-15
Last Update Date:2022-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist