Individual
COURTNEY CAMPBELL ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
820 CASTLE VALLEY BLVD STE 201, NEW CASTLE, CO 81647-9453
(970) 984-2300
(970) 984-0587
Mailing address
5104 ELK LN, BASALT, CO 81621-8214
(951) 317-5812
(970) 984-0587
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
9702
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9072
PTA LISENCE
CA
Enumeration date
04/26/2019
Last updated
04/26/2019
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