Provider Demographics
NPI:1023106242
Name:OTTE, CURT REID (MASTERS OT)
Entity type:Individual
Prefix:MR
First Name:CURT
Middle Name:REID
Last Name:OTTE
Suffix:
Gender:M
Credentials:MASTERS OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9321 W SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-4845
Mailing Address - Country:US
Mailing Address - Phone:702-216-9304
Mailing Address - Fax:702-216-9303
Practice Address - Street 1:4530 S EASTERN AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-6181
Practice Address - Country:US
Practice Address - Phone:702-645-7800
Practice Address - Fax:702-650-0865
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0860225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1023106242Medicaid
104205Medicare PIN