Provider Demographics
NPI:1902253826
Name:JAYJOHN, COURTNEY M (DPT)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:M
Last Name:JAYJOHN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:FISCHBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:809 FARSON ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BELPRE
Mailing Address - State:OH
Mailing Address - Zip Code:45714-1066
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:809 FARSON ST
Practice Address - Street 2:SUITE 105
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714
Practice Address - Country:US
Practice Address - Phone:740-423-1500
Practice Address - Fax:740-423-1504
Is Sole Proprietor?:No
Enumeration Date:2016-05-20
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist