Healthcare Provider Details

I. General information

NPI: 1992234058
Provider Name (Legal Business Name): COURTNEY STEARS BOYLE PT, DPT, NCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2017
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24010 CLYDE COCKERHAM LN
DENHAM SPRINGS LA
70726-7299
US

IV. Provider business mailing address

24010 CLYDE COCKERHAM LN
DENHAM SPRINGS LA
70726-7299
US

V. Phone/Fax

Practice location:
  • Phone: 225-485-4635
  • Fax: 225-485-4635
Mailing address:
  • Phone: 225-485-4635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number09691
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: