Provider Demographics
NPI:1780042119
Name:CURTIS, SARA ANN
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ANN
Last Name:CURTIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6114 N COCHRAN ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-7028
Mailing Address - Country:US
Mailing Address - Phone:509-723-3287
Mailing Address - Fax:
Practice Address - Street 1:12 E ROWAN AVE
Practice Address - Street 2:SUITE L5
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-6007
Practice Address - Country:US
Practice Address - Phone:509-723-6977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-30
Last Update Date:2016-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60162703225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist