Provider Demographics
NPI:1811730062
Name:LAHUE, CORTNEY J
Entity type:Individual
Prefix:
First Name:CORTNEY
Middle Name:J
Last Name:LAHUE
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 1:19320 220TH ST
Mailing Address - Street 2:
Mailing Address - City:ROCK PORT
Mailing Address - State:MO
Mailing Address - Zip Code:64482-9170
Mailing Address - Country:US
Mailing Address - Phone:660-253-0032
Mailing Address - Fax:
Practice Address - Street 1:9151 NE 81ST TER STE 110
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64158-1176
Practice Address - Country:US
Practice Address - Phone:816-415-4971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist