Healthcare Provider Details

I. General information

NPI: 1790072429
Provider Name (Legal Business Name): CURTIS LYLE SYKES DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2011
Last Update Date: 09/20/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 E STATE ST STE 102
ATHENS OH
45701-2116
US

IV. Provider business mailing address

1500 GRAND CENTRAL AVE STE 101
VIENNA WV
26105-1079
US

V. Phone/Fax

Practice location:
  • Phone: 405-923-7787
  • Fax: 740-592-3790
Mailing address:
  • Phone: 304-693-2781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number013240
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: