Provider Demographics
NPI:1821867235
Name:LAMONTAGNE, COURTNEY LEE (LMT)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:LEE
Last Name:LAMONTAGNE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3921 W RIVER DR STE 7
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-5736
Mailing Address - Country:US
Mailing Address - Phone:361-654-4747
Mailing Address - Fax:361-654-4750
Practice Address - Street 1:3921 W RIVER DR STE 7
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-5736
Practice Address - Country:US
Practice Address - Phone:361-654-4747
Practice Address - Fax:361-654-4750
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMSP6806225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist