Provider Demographics
NPI:1609105584
Name:HARPER, CORTNEY NICOLE (PT)
Entity Type:Individual
Prefix:
First Name:CORTNEY
Middle Name:NICOLE
Last Name:HARPER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4210 MESA DR STE 110
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76207-3458
Mailing Address - Country:US
Mailing Address - Phone:940-320-6219
Mailing Address - Fax:940-320-6230
Practice Address - Street 1:4210 MESA DR STE 110
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76207-3458
Practice Address - Country:US
Practice Address - Phone:940-320-6219
Practice Address - Fax:940-320-6230
Is Sole Proprietor?:No
Enumeration Date:2009-12-23
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1179438225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist