Individual
COURTNEY J MCTHENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
100 WINTERS ST STE 103, WEST POINT, VA 23181-9534
(804) 843-9033
(804) 843-9037
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(757) 873-2302
(757) 873-2302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211048
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05954
GROUP MEDICARE PTAN
VA
Enumeration date
05/31/2017
Last updated
08/25/2022
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