Individual
COURTNEY MICHELLE LUTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1554 S WATER ST, STARKE, FL 32091-4511
(904) 964-2208
Mailing address
11204 SE US HIGHWAY 301, HAWTHORNE, FL 32640-7718
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
FL
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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