Provider Demographics
NPI:1770138687
Name:UZZLE, COURTNEY JANELLE (LMT)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:JANELLE
Last Name:UZZLE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 NEWTOWN RD STE A-4
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-2410
Mailing Address - Country:US
Mailing Address - Phone:757-738-7923
Mailing Address - Fax:
Practice Address - Street 1:156 NEWTOWN RD STE A-4
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-2410
Practice Address - Country:US
Practice Address - Phone:757-738-7923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019009032225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist