Individual
MICHELE ANNETTE COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 HOSPITAL DR, ATHENS, OH 45701-2471
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2639
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT006659
OH
2251P0200X
Pediatric Physical Therapist
Primary
PT006659
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000163115
ANTHEM
—
05
—
0099315
—
OH
Enumeration date
03/20/2007
Last updated
04/10/2025
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