Provider Demographics
NPI:1740691005
Name:LEVINGSTON, COURTNEY JANIECE (DC)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:JANIECE
Last Name:LEVINGSTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E HIGHWAY 67 STE 204
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137-4481
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 BRYAN PL
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-1768
Practice Address - Country:US
Practice Address - Phone:972-299-0003
Practice Address - Fax:214-572-7375
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-08
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist