Individual
COURTNEY D HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2151 CENTURY LANE, JOHNSON CITY, TN 37604-4004
(423) 926-2500
(423) 926-5999
Mailing address
365 STOUT DRIVEBOX 70403, JOHNSON CITY, TN 37614-1703
(423) 439-4515
(423) 439-4060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
003628
GA
225100000X
Physical Therapist
2375
NC
225100000X
Physical Therapist
Primary
PT9474
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT9474
ST LICENSE
TN
Enumeration date
08/31/2006
Last updated
07/06/2016
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