Provider Demographics
NPI:1508270042
Name:CARMICHAEL HIGHT, COURTNEY MICHELE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:MICHELE
Last Name:CARMICHAEL HIGHT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1642 MACKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-4432
Mailing Address - Country:US
Mailing Address - Phone:530-545-0514
Mailing Address - Fax:530-544-6512
Practice Address - Street 1:1642 MACKLAND AVE
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423
Practice Address - Country:US
Practice Address - Phone:530-545-0514
Practice Address - Fax:530-544-6512
Is Sole Proprietor?:No
Enumeration Date:2014-06-12
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2979225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist