Healthcare Provider Details

I. General information

NPI: 1255860961
Provider Name (Legal Business Name): PATRICIA ANN CURTISS ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2017
Last Update Date: 06/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45280 SEELEY DR
LA QUINTA CA
92253-6834
US

IV. Provider business mailing address

45595 BANFF SPRINGS ST
INDIO CA
92201-0932
US

V. Phone/Fax

Practice location:
  • Phone: 760-834-7920
  • Fax: 760-834-7921
Mailing address:
  • Phone: 760-578-6401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: