Provider Demographics
NPI:1306439252
Name:MUSSER, COURTNEY (DTCM, LAC)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:
Last Name:MUSSER
Suffix:
Gender:F
Credentials:DTCM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 CASS ST STE 116
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2921
Mailing Address - Country:US
Mailing Address - Phone:831-244-0996
Mailing Address - Fax:
Practice Address - Street 1:700 CASS ST STE 116
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2921
Practice Address - Country:US
Practice Address - Phone:831-244-0996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-11
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747A0650X
CA19037171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturist
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty