Provider Demographics
NPI:1629200811
Name:ENGLISH, CURTIS LEE (PTA)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:LEE
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 754
Mailing Address - Street 2:504 ARROWHEAD WAY
Mailing Address - City:CRESTONE
Mailing Address - State:CO
Mailing Address - Zip Code:81131-0754
Mailing Address - Country:US
Mailing Address - Phone:719-256-4140
Mailing Address - Fax:719-256-4140
Practice Address - Street 1:504 ARROWHEAD WAY
Practice Address - Street 2:
Practice Address - City:CRESTONE
Practice Address - State:CO
Practice Address - Zip Code:81131-0754
Practice Address - Country:US
Practice Address - Phone:719-256-4140
Practice Address - Fax:719-256-4140
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMA-0615225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant