Provider Demographics
NPI:1891727921
Name:CURRY, MICHAEL T (PT MA ATC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:T
Last Name:CURRY
Suffix:
Gender:M
Credentials:PT MA ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 HILARY ST
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-6918
Mailing Address - Country:US
Mailing Address - Phone:503-472-0096
Mailing Address - Fax:503-472-0097
Practice Address - Street 1:745 HILARY ST
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-6918
Practice Address - Country:US
Practice Address - Phone:503-472-0096
Practice Address - Fax:503-472-0097
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0467225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR111743Medicare PIN
R14334Medicare UPIN