Provider Demographics
NPI:1003985490
Name:POTTS, CURTIS ROBERT (DC)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:ROBERT
Last Name:POTTS
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 1:255 W MOANA LN
Mailing Address - Street 2:SUITE 111
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4906
Mailing Address - Country:US
Mailing Address - Phone:775-323-3286
Mailing Address - Fax:775-323-3627
Practice Address - Street 1:255 W MOANA LN STE 111
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4942
Practice Address - Country:US
Practice Address - Phone:775-323-3286
Practice Address - Fax:775-323-3627
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2011-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB668111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVU70109Medicare UPIN
NV30792Medicare ID - Type Unspecified