Provider Demographics
NPI:1407270846
Name:WASHINGTON, COURTNEY HOBBS (MS, ATC, LAT)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:HOBBS
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 OWNBY DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75275-0001
Mailing Address - Country:US
Mailing Address - Phone:214-768-1053
Mailing Address - Fax:214-768-1225
Practice Address - Street 1:5801 BUSH AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75275-0001
Practice Address - Country:US
Practice Address - Phone:214-768-1053
Practice Address - Fax:214-768-1225
Is Sole Proprietor?:No
Enumeration Date:2014-02-05
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer