Basic Information
| Provider Information | |||||||||
| NPI: | 1508270042 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CARMICHAEL HIGHT | ||||||||
| FirstName: | COURTNEY | ||||||||
| MiddleName: | MICHELE | ||||||||
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| Credential: | PT, DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1642 MACKLAND AVE | ||||||||
| Address2: | |||||||||
| City: | MINDEN | ||||||||
| State: | NV | ||||||||
| PostalCode: | 894234432 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5305450514 | ||||||||
| FaxNumber: | 5305446512 | ||||||||
| Practice Location | |||||||||
| Address1: | 1642 MACKLAND AVE | ||||||||
| Address2: | |||||||||
| City: | MINDEN | ||||||||
| State: | NV | ||||||||
| PostalCode: | 89423 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5305450514 | ||||||||
| FaxNumber: | 5305446512 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2014 | ||||||||
| LastUpdateDate: | 12/11/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 2979 | NV | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.