Healthcare Provider Details

I. General information

NPI: 1750023206
Provider Name (Legal Business Name): COURTNEY ELIZABETH HEMSLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: COURTNEY REID

II. Dates (important events)

Enumeration Date: 04/13/2022
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 W MIDDLE ST
CHELSEA MI
48118-1369
US

IV. Provider business mailing address

PO BOX 74008272
CHICAGO IL
60674-8272
US

V. Phone/Fax

Practice location:
  • Phone: 872-231-3162
  • Fax: 702-977-1496
Mailing address:
  • Phone: 702-899-0595
  • Fax: 702-977-1496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number5101029443
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: