Provider Demographics
NPI:1790368256
Name:CURTIS, GYKAYLA QUINN
Entity Type:Individual
Prefix:
First Name:GYKAYLA
Middle Name:QUINN
Last Name:CURTIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GYKAYLA
Other - Middle Name:QUINN
Other - Last Name:GREGG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:39731 RESERVATION HIGHWAY 3
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:MN
Mailing Address - Zip Code:56270-1239
Mailing Address - Country:US
Mailing Address - Phone:507-479-0494
Mailing Address - Fax:
Practice Address - Street 1:100 WARREN ST STE 324
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-3762
Practice Address - Country:US
Practice Address - Phone:507-246-2667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-03
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health