Provider Demographics
NPI:1023872397
Name:TRIMBLE, COURTNEY CATHRINE
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:CATHRINE
Last Name:TRIMBLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:DAWSON SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:42408-9304
Mailing Address - Country:US
Mailing Address - Phone:270-601-3368
Mailing Address - Fax:
Practice Address - Street 1:913 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:DAWSON SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:42408-9304
Practice Address - Country:US
Practice Address - Phone:270-601-3368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist