Courtney K Collier, DPT
Individual provider Active NPI Physical Therapist · Broussard, LA
NPI 1710656228 · NPPES record last updated Sep 8, 2021
Key facts
- NPI
- 1710656228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 07366 (LA)
- Practice address
- 418 Albertson Pkwy
Broussard, LA 70518-4971 - Phone
- (337) 839-9005
- NPI assigned
- Sep 8, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 07366 | LA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 07366 | LA | Yes |
Addresses
Primary practice location
418 Albertson Pkwy
Broussard, LA 70518-4971
Mailing address
105 Bonner Dr
Lafayette, LA 70508-7458
Phone (225) 252-5059
Other providers in Broussard, LA
- Choca MD LLC
- Tawanna Chretien
- Victoria Duyen N Chu
- Christopher Jeffery Cigainero
- Kelli M Cocke
- Ana Colon
- Jacie Boutte Cormier
- Chris Allen Crayton
- Ngoc Dang
- Trisha Darbonne
All providers in Broussard, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2021. 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.