Provider Demographics
NPI:1578992160
Name:LANCASTER, COURTNEY JEANNE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:JEANNE
Last Name:LANCASTER
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 1:7113 SONYA DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-5232
Mailing Address - Country:US
Mailing Address - Phone:330-309-5476
Mailing Address - Fax:
Practice Address - Street 1:7113 SONYA DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-5232
Practice Address - Country:US
Practice Address - Phone:330-309-5476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9834225100000X
SC8977225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist