Provider Demographics
NPI:1669945622
Name:RANSICK, COURTNEY MARIE
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:MARIE
Last Name:RANSICK
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 1:4449 GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:CHEVIOT
Mailing Address - State:OH
Mailing Address - Zip Code:45211-4422
Mailing Address - Country:US
Mailing Address - Phone:513-418-1649
Mailing Address - Fax:
Practice Address - Street 1:11501 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-1124
Practice Address - Country:US
Practice Address - Phone:513-648-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-02
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPTA0011587225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant