MEDICARE: CURTIS PERFORMANCE LLC

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	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1992499263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CURTIS PERFORMANCE LLC

Provider Business Mailing Address
First Line	:	1417 DOVE DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-5628
Country	:	US
Telephone Number	:	207-590-5015
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 FIRST COLONIAL RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-4665
Country	:	US
Telephone Number	:	207-590-5015
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. BRETT ALLEN CURTIS
Credential	:
Telephone Number	:	207-590-5015

Provider Enumeration Date	:	06/08/2023
Last Update Date	:	06/08/2023

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Directions to “CURTIS PERFORMANCE LLC ” Practice Location

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