Search › Wisconsin › 101YA0400X
Courtney Balthazor, SAC-IT
NPI 1053037333 · on the registry since 2022
Practice
- Address
- 3 Riverview Dr
Manitowoc, WI 54220 - Phone
- (920) 663-1035
- Fax
- (920) 215-4918
- Organisation at this address
- Core Treatment Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Additional practice sites
- 3733 Dewey St, Manitowoc, WI
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin