Provider Demographics
NPI:1609187582
Name:CURTIS, SUSAN SNARR (PT)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:SNARR
Last Name:CURTIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SUE
Other - Middle Name:
Other - Last Name:CURTIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3302 N 140 W
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-3612
Mailing Address - Country:US
Mailing Address - Phone:801-592-9104
Mailing Address - Fax:
Practice Address - Street 1:3302 N 140 W
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-3612
Practice Address - Country:US
Practice Address - Phone:801-592-9104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-25
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1148742401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist