Provider Demographics
NPI:1053609529
Name:PARRIOTT, CORTNEY SUE (DPT)
Entity type:Individual
Prefix:MISS
First Name:CORTNEY
Middle Name:SUE
Last Name:PARRIOTT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:CORTNEY
Other - Middle Name:SUE
Other - Last Name:DURAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:PO BOX 511
Mailing Address - Street 2:
Mailing Address - City:FERNLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89408-0511
Mailing Address - Country:US
Mailing Address - Phone:775-575-5508
Mailing Address - Fax:775-575-6655
Practice Address - Street 1:20 N WEST ST
Practice Address - Street 2:
Practice Address - City:FERNLEY
Practice Address - State:NV
Practice Address - Zip Code:89408-9799
Practice Address - Country:US
Practice Address - Phone:775-575-5508
Practice Address - Fax:775-575-6655
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2573225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist