Provider Demographics
NPI:1336606045
Name:CURTIS, MARCI SUZANNE (LMT)
Entity Type:Individual
Prefix:
First Name:MARCI
Middle Name:SUZANNE
Last Name:CURTIS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 GARLAND WAY N APT 4
Mailing Address - Street 2:
Mailing Address - City:KEIZER
Mailing Address - State:OR
Mailing Address - Zip Code:97303-5658
Mailing Address - Country:US
Mailing Address - Phone:503-510-8921
Mailing Address - Fax:
Practice Address - Street 1:156 FRONT ST NE # 100
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3479
Practice Address - Country:US
Practice Address - Phone:503-581-1087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-28
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR22782225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist