Provider Demographics
NPI:1922981455
Name:NEWCHURCH, COURTNEY MARILYN (LMT)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:MARILYN
Last Name:NEWCHURCH
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 1:9330 CORPORATE DR STE 807
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:TX
Mailing Address - Zip Code:78154-1258
Mailing Address - Country:US
Mailing Address - Phone:210-517-9889
Mailing Address - Fax:
Practice Address - Street 1:9330 CORPORATE DR STE 807
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:TX
Practice Address - Zip Code:78154-1258
Practice Address - Country:US
Practice Address - Phone:210-517-9889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT144187225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist