NPI 1861834699

Derek Curtis, PTA

Practitioner Physical Disabilities Residential Treatment Facility Mount Vernon, MO

Practice location

Address: 1600 S Hickory St, Mount Vernon, MO 65712-2045
Phone: (417) 466-7103
Fax: (417) 466-4040

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 2013025663 (MO)

Other Residential Treatment Facility, Physical Disabilities providers in Missouri →

Registry record

NPI: 1861834699
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2013
Record last updated: 22 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.