Beverage Ash, Courtney Wendell
Beverage Ash, Courtney Wendell is an individual health care provider with primary practice located at 601 Rockmead Drive , Kingwood TX 77339. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Beverage Ash, Courtney Wendell can be contacted via phone (281) 359-5115.Contact Information
Primary practice address
601 Rockmead Drive
Kingwood TX 77339
Phone: (281) 359-5115
Fax: (281) 359-2663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 009732 | Ohio |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 002123 | West Virginia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1175853 | Texas |
Profile Details
| NPI number | 1275730624 |
|---|---|
| LBN Legal business name | Beverage Ash, Courtney Wendell |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2007 |
| Last updated | May 21st, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275730624 | NPPES |
| Ohio | MEDICAID | 365496 |
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