Healthcare Provider Details

I. General information

NPI: 1124036322
Provider Name (Legal Business Name): ABBY L CURTIS PT, MS, CLT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABBY L HOLT PT, MS, CLT

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 INNOVATION DR STE 205
WHITEWATER WI
53190-1482
US

IV. Provider business mailing address

1221 INNOVATION DR STE 205
WHITEWATER WI
53190-1482
US

V. Phone/Fax

Practice location:
  • Phone: 309-663-6461
  • Fax: 309-661-8107
Mailing address:
  • Phone: 262-473-1473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070014195
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14075
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: