Provider Demographics
NPI:1215333786
Name:LEWIS, COURTNEY (CRT)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:LEWIS
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1136 BELLSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-1611
Mailing Address - Country:US
Mailing Address - Phone:615-573-1215
Mailing Address - Fax:
Practice Address - Street 1:1136 BELLSHIRE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-1611
Practice Address - Country:US
Practice Address - Phone:615-573-1215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-11
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000003437227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified