MEDICARE: MR. DANIEL BURTON CURTISS RKT CSCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	226300000X	Kinesiotherapist	1523	OH

General Provider Information

NPI Number	:	1447346275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL BURTON CURTISS RKT CSCS

Provider Business Mailing Address
First Line	:	210 W. NEW ENGLAND AVE.
Second Line	:
City	:	WORTHINGTON
State	:	OH
Zip	:	43085
Country	:	US
Telephone Number	:	614-430-0824
Fax Number	:

Provider Business Practice Location Address
First Line	:	ONE NATIONWIDE PLAZA
Second Line	:	1-UC-07
City	:	COLUMBUS
State	:	OH
Zip	:	43215
Country	:	US
Telephone Number	:	614-249-9370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	07/08/2007

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