Provider Demographics
NPI:1760696983
Name:CURTIS, BETH (OTR)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:CURTIS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W736 COUNTY ROAD CI
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:WI
Mailing Address - Zip Code:53156-9683
Mailing Address - Country:US
Mailing Address - Phone:414-852-9250
Mailing Address - Fax:
Practice Address - Street 1:W736 COUNTY ROAD CI
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:WI
Practice Address - Zip Code:53156-9683
Practice Address - Country:US
Practice Address - Phone:414-852-9250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3740026225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist