Healthcare Provider Details

I. General information

NPI: 1932628716
Provider Name (Legal Business Name): DANIEL JOHN CURNUTT DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2017
Last Update Date: 07/21/2022
Certification Date: 07/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3121 UNIVERSITY DR E STE 100
BRYAN TX
77802-3499
US

IV. Provider business mailing address

3121 UNIVERSITY DR E STE 100
BRYAN TX
77802-3499
US

V. Phone/Fax

Practice location:
  • Phone: 979-776-0169
  • Fax: 979-776-1372
Mailing address:
  • Phone: 979-776-0169
  • Fax: 797-761-3729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1274489
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: