Provider Demographics
NPI:1487106795
Name:REIMAN, COURTNEY MAREE (LAC, CMT)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:MAREE
Last Name:REIMAN
Suffix:
Gender:F
Credentials:LAC, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 PIERCE ST APT 103
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-2453
Mailing Address - Country:US
Mailing Address - Phone:206-372-0096
Mailing Address - Fax:
Practice Address - Street 1:555 PIERCE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-2440
Practice Address - Country:US
Practice Address - Phone:206-372-0096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-03
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17283171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist