MEDICARE: DR. RICKY CURTIS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	B837	NV

General Provider Information

NPI Number	:	1013123538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICKY CURTIS D.C.

Provider Business Mailing Address
First Line	:	PO BOX 26471
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89126-0471
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 SHADY TIMBER ST
Second Line	:	#2008
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7586
Country	:	US
Telephone Number	:	702-683-4884
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	07/08/2007

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