MEDICARE: SELEN NEDRET COURTNEY PT

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	10453	AZ

General Provider Information

NPI Number	:	1164858734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SELEN NEDRET COURTNEY PT

Provider Business Mailing Address
First Line	:	13400 E SHEA BLVD
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85259-5499
Country	:	US
Telephone Number	:	480-301-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5777 E MAYO BLVD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85054
Country	:	US
Telephone Number	:	480-342-1869
Fax Number	:	480-342-4864

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

Provider Enumeration Date	:	09/16/2013
Last Update Date	:	03/17/2026

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Directions to “ SELEN NEDRET COURTNEY PT” Practice Location

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