Provider Demographics
NPI:1417214735
Name:CURTIS, DEENA M (MSATC)
Entity Type:Individual
Prefix:MS
First Name:DEENA
Middle Name:M
Last Name:CURTIS
Suffix:
Gender:F
Credentials:MSATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 N 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68003-1255
Mailing Address - Country:US
Mailing Address - Phone:262-705-1661
Mailing Address - Fax:
Practice Address - Street 1:14801 S 108TH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NE
Practice Address - Zip Code:68059-4925
Practice Address - Country:US
Practice Address - Phone:402-659-6901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE5012255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer