Provider Demographics
NPI:1780095935
Name:HURLESS, COURTNEY BARNES (PT, DPT)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:BARNES
Last Name:HURLESS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:ANN
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:6397 LEE HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-4915
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:102 HINES RD NE
Practice Address - Street 2:STE 3
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-9374
Practice Address - Country:US
Practice Address - Phone:706-602-9655
Practice Address - Fax:706-602-9676
Is Sole Proprietor?:No
Enumeration Date:2014-05-09
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9930225100000X
GAPT011511225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist