Individual provider · Type 1 NPI

Mary Courtney Tanner, PT, DPT

Pediatric Physical Therapist · Valdosta, GA

NPI number 1407680010 Active

Practice location

809 N Patterson St
Valdosta, GA 31601-4528

Call (229) 469-6932 Map

Fax (229) 469-6933

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT017265 (GA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1407680010

Mary Courtney Tanner, PT, DPT's National Provider Identifier is 1407680010, issued on Aug 27, 2024. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Valdosta, GA. The record was last updated on Oct 21, 2026.