Provider Demographics
NPI:1205454170
Name:CURRY, ALEXANDRA CHARLOTTE
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:CHARLOTTE
Last Name:CURRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 REGIS BLVD # F-20
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-1099
Mailing Address - Country:US
Mailing Address - Phone:720-837-9260
Mailing Address - Fax:
Practice Address - Street 1:3333 REGIS BLVD # F-20
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-1099
Practice Address - Country:US
Practice Address - Phone:720-837-9260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAT.00014772255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
200022509OtherBOARD OF CERTIFICATION