Provider Demographics
NPI:1679972699
Name:DORSEY, COURTNEY (PT)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:DORSEY
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 1:2840 BARRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-9310
Mailing Address - Country:US
Mailing Address - Phone:540-830-5100
Mailing Address - Fax:
Practice Address - Street 1:200 LEAKSVILLE RD
Practice Address - Street 2:
Practice Address - City:LURAY
Practice Address - State:VA
Practice Address - Zip Code:22835-5301
Practice Address - Country:US
Practice Address - Phone:540-743-0502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202827225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist