Provider Demographics
NPI:1346398062
Name:CURRY, KATHRYN K (PT)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:K
Last Name:CURRY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:K
Other - Last Name:CURRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:2431 S LOOP 289
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-1519
Mailing Address - Country:US
Mailing Address - Phone:806-771-8013
Mailing Address - Fax:806-771-4190
Practice Address - Street 1:4138 19TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79407-2403
Practice Address - Country:US
Practice Address - Phone:806-780-2329
Practice Address - Fax:806-780-2330
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2673225100000X
TXPT1028694225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX839T69OtherBCBS
TXP00860452OtherMEDICARE RAILROAD
TX195519100OtherFIRSTCARE
NMNM01Q103OtherBCBS PROV NUMBER
TX058387402Medicaid
TX058387403Medicaid
TX058387403Medicaid