Healthcare Provider Details

I. General information

NPI: 1881506848
Provider Name (Legal Business Name): KATHRYN A CURTIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1548 W CAYUSE CREEK DR
MERIDIAN ID
83646-4795
US

IV. Provider business mailing address

4083 E EAGLE RIDGE DR
NAMPA ID
83686-3903
US

V. Phone/Fax

Practice location:
  • Phone: 208-600-2072
  • Fax:
Mailing address:
  • Phone: 510-821-0629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: