Provider Demographics
NPI:1942649678
Name:CURRY, JOEL BRENNER (CMT)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:BRENNER
Last Name:CURRY
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:
Other - First Name:JODY
Other - Middle Name:
Other - Last Name:CURRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CMT
Mailing Address - Street 1:163 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:APPLEGATE
Mailing Address - State:CA
Mailing Address - Zip Code:95703-9708
Mailing Address - Country:US
Mailing Address - Phone:530-888-6534
Mailing Address - Fax:530-878-7914
Practice Address - Street 1:163 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:APPLEGATE
Practice Address - State:CA
Practice Address - Zip Code:95703-9708
Practice Address - Country:US
Practice Address - Phone:530-888-6534
Practice Address - Fax:530-878-7914
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-15
Last Update Date:2013-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27362172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist