Provider Demographics
NPI:1487142337
Name:CRAMER, COURTNEY LYNN (DC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:LYNN
Last Name:CRAMER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 CRAMER RD
Mailing Address - Street 2:
Mailing Address - City:MIFFLINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17059-8391
Mailing Address - Country:US
Mailing Address - Phone:717-348-9546
Mailing Address - Fax:
Practice Address - Street 1:121 W 8TH ST
Practice Address - Street 2:
Practice Address - City:PORT ROYAL
Practice Address - State:PA
Practice Address - Zip Code:17082-9790
Practice Address - Country:US
Practice Address - Phone:717-527-2481
Practice Address - Fax:717-527-2471
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-26
Last Update Date:2018-07-10
Deactivation Date:2018-05-31
Deactivation Code:
Reactivation Date:2018-07-10
Provider Licenses
StateLicense IDTaxonomies
PADC011334111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty