Provider Demographics
NPI:1225693880
Name:LACOUR, AIMEE MARIE (PT)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:MARIE
Last Name:LACOUR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:M
Other - Last Name:LACOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:960 GRUENE RD BLDG 2
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5097
Mailing Address - Country:US
Mailing Address - Phone:830-302-2340
Mailing Address - Fax:
Practice Address - Street 1:960 GRUENE RD BLDG 2
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-5097
Practice Address - Country:US
Practice Address - Phone:830-302-2340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist