Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Courtney Boutwell

Individual provider Physical Therapist · NPI 1568771699

Courtney Boutwell is a Physical Therapist in Vicksburg, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2010

Practice location Address checks out

2850 Porters Chapel Rd
Vicksburg, MS 39180-1805
Phone: (601) 638-9211
Fax: (601) 636-4986
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT4744 (MS)

Record details

NPI number1568771699
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 7, 2010
Last updated in NPPESOctober 7, 2010

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