MEDICARE: COURTNEY LYNN YEHL FOCHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	10525	SC

General Provider Information

NPI Number	:	1093302812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY LYNN YEHL FOCHT

Provider Business Mailing Address
First Line	:	2586 HIGHWAY 17 BUSINESS SOUTH
Second Line	:
City	:	MURRELLS INLET
State	:	SC
Zip	:	29576
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2586 HIGHWAY 17 BUSINESS SOUTH
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29576
Country	:	US
Telephone Number	:	843-651-6565
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2020
Last Update Date	:	11/29/2024

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