Provider Demographics
NPI:1912036997
Name:WRIGHT, CURTIS JAMES (DC)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:JAMES
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:766 E 100 N
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:UT
Mailing Address - Zip Code:84651-2345
Mailing Address - Country:US
Mailing Address - Phone:801-358-1531
Mailing Address - Fax:801-405-7031
Practice Address - Street 1:766 E 100 N
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:UT
Practice Address - Zip Code:84651-2345
Practice Address - Country:US
Practice Address - Phone:801-358-1531
Practice Address - Fax:801-405-7031
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT351497-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT35149712077001Medicare UPIN
UT214916Medicare UPIN
UT870395551CWRMedicare UPIN
UT76501Medicare UPIN