Courtney Craig
Individual provider Active NPI Physical Therapy Assistant · Columbia, LA
NPI 1477848448 · NPPES record last updated Jun 17, 2011
Key facts
- NPI
- 1477848448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A7839 (LA)
- Practice address
- 7726 Highway 165
Columbia, LA 71418-3322 - Phone
- (348) 649-9826
- NPI assigned
- Jun 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A7839 | LA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A7839 | LA | Yes |
Addresses
Primary practice location
7726 Highway 165
Columbia, LA 71418-3322
Mailing address
4109 Highway 98 W
Summit, MS 39666-9132
Other providers in Columbia, LA
- Columbia Developmental Center
- Columbia Developmental Center
- Columbia Medical
- Colwell Interest, Inc.
- Compassion Medical Staffing
- Holly Crawford
- Labreeshya Critton
- Russell Orville Cummings Jr.
- George Michael Davis
- Karen Dembrosky
All providers in Columbia, LA · Physical Therapy Assistant in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.