Healthcare Provider Details

I. General information

NPI: 1700723475
Provider Name (Legal Business Name): TANYA MICHELLE COURTS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14846 CHAD LN
WILLIAMSBURG OH
45176-9472
US

IV. Provider business mailing address

608 GEORGIA DR
BETHEL OH
45106-1036
US

V. Phone/Fax

Practice location:
  • Phone: 513-448-8375
  • Fax:
Mailing address:
  • Phone: 513-520-6385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: