Provider Demographics
NPI:1598964579
Name:YOUST, COURTNEY SUE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:SUE
Last Name:YOUST
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:COURTNEY
Other - Middle Name:SUE
Other - Last Name:PARVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:12000 MARKET ST
Mailing Address - Street 2:APT 124
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-5693
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21475 RIDGETOP CIR
Practice Address - Street 2:SUITE 260
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-6580
Practice Address - Country:US
Practice Address - Phone:703-433-2500
Practice Address - Fax:703-433-2558
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305205079225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist