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NPI Code Detail

MEDICARE: CAITLYN COURTNEY DC

MEDICARE: CAITLYN COURTNEY DC
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
1111N00000XChiropractor15999TX

General Provider Information

NPI Number : 1710731930
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLYN COURTNEY DC
Provider Business Mailing Address
First Line : 102 N LA COLINA RD
Second Line :
City : WEATHERFORD
State : TX
Zip : 76085-8802
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7500 BOULEVARD 26
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-8318
Country : US
Telephone Number : 817-259-1300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2024
Last Update Date : 04/15/2024

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Directions to “ CAITLYN COURTNEY DC” Practice Location

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