Provider Demographics
NPI:1023049475
Name:CURLESS, BETH A (PT)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:A
Last Name:CURLESS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:260 N MAIN ST
Mailing Address - Street 2:BLDG 100B
Mailing Address - City:HAYSVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:67060-1272
Mailing Address - Country:US
Mailing Address - Phone:316-524-3738
Mailing Address - Fax:316-522-2752
Practice Address - Street 1:200 W DOUGLAS
Practice Address - Street 2:STE 1040
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-3017
Practice Address - Country:US
Practice Address - Phone:316-263-0003
Practice Address - Fax:316-263-1241
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2013-03-04
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Provider Licenses
StateLicense IDTaxonomies
KS11-01487225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200307050BMedicaid
KS200307050AMedicaid
KS200307050BMedicaid
KS1307140Medicare PIN