Provider Demographics
NPI:1720961048
Name:WITTE, COURTNEY ANN (DPT)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:ANN
Last Name:WITTE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19702 BELLA LOMA APT 3009
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78256-0003
Mailing Address - Country:US
Mailing Address - Phone:830-299-9899
Mailing Address - Fax:
Practice Address - Street 1:120 E BASSE RD STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-8356
Practice Address - Country:US
Practice Address - Phone:512-335-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1407000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty