Provider Demographics
NPI:1295054575
Name:CURTIS, CHRISTIAN WAYNE (LAC, LMT)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:WAYNE
Last Name:CURTIS
Suffix:
Gender:M
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12356 NORTHUP WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1956
Mailing Address - Country:US
Mailing Address - Phone:425-556-0484
Mailing Address - Fax:425-529-9651
Practice Address - Street 1:12356 NORTHUP WAY STE 101
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1956
Practice Address - Country:US
Practice Address - Phone:425-556-0484
Practice Address - Fax:425-529-9651
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-25
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60447874171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist