Provider Demographics
NPI:1063500924
Name:HARTVIGSEN, CURTIS ROSS JR (MPT PHYSICAL THERAPY)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:ROSS
Last Name:HARTVIGSEN
Suffix:JR
Gender:M
Credentials:MPT PHYSICAL THERAPY
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Mailing Address - Street 1:1809 VISTA REAL DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-3223
Mailing Address - Country:US
Mailing Address - Phone:915-269-2135
Mailing Address - Fax:
Practice Address - Street 1:1610 N ZARAGOZA RD
Practice Address - Street 2:STE. D1
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-7915
Practice Address - Country:US
Practice Address - Phone:915-593-1862
Practice Address - Fax:915-595-9809
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2013-02-27
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Provider Licenses
StateLicense IDTaxonomies
TX1158272225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist