Provider Demographics
NPI:1215634167
Name:YANNONE, COURTNEY (PTA)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:YANNONE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:POSTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:168 MAIN ST APT 4
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-3619
Mailing Address - Country:US
Mailing Address - Phone:978-879-6593
Mailing Address - Fax:
Practice Address - Street 1:168 MAIN ST APT 4
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-3619
Practice Address - Country:US
Practice Address - Phone:978-879-6593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9550225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant