Provider Demographics
NPI:1679031629
Name:COURTER, ALLIE F (DPT)
Entity Type:Individual
Prefix:
First Name:ALLIE
Middle Name:F
Last Name:COURTER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ALLIE
Other - Middle Name:
Other - Last Name:KNAUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2400 E CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-8728
Mailing Address - Country:US
Mailing Address - Phone:920-831-5050
Mailing Address - Fax:920-735-7648
Practice Address - Street 1:2400 E CAPITOL DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-8728
Practice Address - Country:US
Practice Address - Phone:920-831-5050
Practice Address - Fax:920-735-7648
Is Sole Proprietor?:No
Enumeration Date:2019-03-08
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14183225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist