Healthcare Provider Details

I. General information

NPI: 1861302457
Provider Name (Legal Business Name): LAMIRRAH CURTIS-COLLINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 S NEW ST
WEST CHESTER PA
19382
US

IV. Provider business mailing address

1733 N ROBINSON ST
PHILADELPHIA PA
19151-3928
US

V. Phone/Fax

Practice location:
  • Phone: 267-342-1872
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: