Provider Demographics
NPI:1316389885
Name:CURRAN, JOHN CONOR (LMT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:CONOR
Last Name:CURRAN
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7005 CODER RD
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-9341
Mailing Address - Country:US
Mailing Address - Phone:419-442-9410
Mailing Address - Fax:
Practice Address - Street 1:27068 OAKMEAD DR
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-2657
Practice Address - Country:US
Practice Address - Phone:419-345-4996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020890225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist