Provider Demographics
NPI:1659599405
Name:MARCUM, CURTIS ANTHONY (OTRL)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:ANTHONY
Last Name:MARCUM
Suffix:
Gender:M
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 TRUDE CT
Mailing Address - Street 2:
Mailing Address - City:CATLETTSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41129-9069
Mailing Address - Country:US
Mailing Address - Phone:606-739-9852
Mailing Address - Fax:
Practice Address - Street 1:1005 TRUDE CT
Practice Address - Street 2:
Practice Address - City:CATLETTSBURG
Practice Address - State:KY
Practice Address - Zip Code:41129-9069
Practice Address - Country:US
Practice Address - Phone:606-739-9852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-R2252225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist