Provider Demographics
NPI:1437825387
Name:WASHINGTON, COURTNEY LEE (DPT)
Entity Type:Individual
Prefix:MISS
First Name:COURTNEY
Middle Name:LEE
Last Name:WASHINGTON
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 1:507 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-5216
Mailing Address - Country:US
Mailing Address - Phone:256-456-0563
Mailing Address - Fax:256-456-0564
Practice Address - Street 1:1906 GLENN BLVD SW STE 1200
Practice Address - Street 2:
Practice Address - City:FORT PAYNE
Practice Address - State:AL
Practice Address - Zip Code:35968-3547
Practice Address - Country:US
Practice Address - Phone:256-364-8303
Practice Address - Fax:256-864-8304
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH10503225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist