Provider Demographics
NPI:1992933089
Name:LASER, COURTNEY LINN (PT)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:LINN
Last Name:LASER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3169 NORTHVIEW RD
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-7125
Mailing Address - Country:US
Mailing Address - Phone:225-772-0516
Mailing Address - Fax:
Practice Address - Street 1:3169 NORTHVIEW RD
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-7125
Practice Address - Country:US
Practice Address - Phone:225-772-0516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-26
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IACP000712T225100000X
VACP001250T225100000X
LA06947225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist