Provider Demographics
NPI:1710769195
Name:BEATTIE, CORTNEY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CORTNEY
Middle Name:
Last Name:BEATTIE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CORTNEY
Other - Middle Name:
Other - Last Name:HORNUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:10461 7TH ST SE
Mailing Address - Street 2:
Mailing Address - City:HANNAFORD
Mailing Address - State:ND
Mailing Address - Zip Code:58448-9503
Mailing Address - Country:US
Mailing Address - Phone:701-789-1261
Mailing Address - Fax:
Practice Address - Street 1:107 12TH ST S
Practice Address - Street 2:
Practice Address - City:COOPERSTOWN
Practice Address - State:ND
Practice Address - Zip Code:58425-4501
Practice Address - Country:US
Practice Address - Phone:701-786-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND2732225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist