Provider Demographics
NPI:1295350882
Name:COURVILLE, BRANDIE RACHELL (DPT)
Entity type:Individual
Prefix:MRS
First Name:BRANDIE
Middle Name:RACHELL
Last Name:COURVILLE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:605 SILVERSTONE RD STE 107
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6899
Mailing Address - Country:US
Mailing Address - Phone:337-540-0699
Mailing Address - Fax:
Practice Address - Street 1:605 SILVERSTONE RD STE 107
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6899
Practice Address - Country:US
Practice Address - Phone:337-345-8682
Practice Address - Fax:337-345-8725
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10253225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist