Provider Demographics
NPI:1619373859
Name:CURRY, TOSHA LYNN (LMT)
Entity Type:Individual
Prefix:
First Name:TOSHA
Middle Name:LYNN
Last Name:CURRY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:TOSHA
Other - Middle Name:LYNN
Other - Last Name:WHITNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:12200 SE MCLOUGHLIN BLVD #3104
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222
Mailing Address - Country:US
Mailing Address - Phone:503-421-9044
Mailing Address - Fax:
Practice Address - Street 1:12200 SE MCLOUGHLIN BLVD
Practice Address - Street 2:3104
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-7281
Practice Address - Country:US
Practice Address - Phone:503-421-9044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR17909225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist