DEREK CURTIS PTA NPI 1861834699

NPI Information

NPI: 1861834699
Provider Name: DEREK CURTIS, PTA
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Individual
Address:
1600 S HICKORY ST
MOUNT VERNON, MO
ZIP 65712
Phone: (417) 466-7103
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Derek Curtis, PTA is a residential treatment facility physical disabilities in Mount Vernon, MO. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. Derek Curtis, PTA NPI is 1861834699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 S HICKORY ST
MOUNT VERNON, MO
ZIP 65712-045
Phone: (417) 466-7103
Fax: (417) 466-4040

The enumeration date for this NPI number is 7/22/2013 and was last updated on 7/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320700000X	Residential Treatment Facility, Physical Disabilities		2013025663	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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