Provider Demographics
NPI:1487825642
Name:WRIGHT, COURTNEY A (CPTA)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:A
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 44AB RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601
Mailing Address - Country:US
Mailing Address - Phone:402-276-0538
Mailing Address - Fax:402-892-7010
Practice Address - Street 1:1112 15TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-5304
Practice Address - Country:US
Practice Address - Phone:402-564-3197
Practice Address - Fax:402-892-7010
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE638225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant