Provider Demographics
NPI:1639971591
Name:CURTIS, ANNETTE ANNA
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:ANNA
Last Name:CURTIS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9587 N DEERFIELD LN
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILLS
Mailing Address - State:UT
Mailing Address - Zip Code:84062-7707
Mailing Address - Country:US
Mailing Address - Phone:801-854-3070
Mailing Address - Fax:
Practice Address - Street 1:740 N 300 E # 84057
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-4149
Practice Address - Country:US
Practice Address - Phone:801-854-3070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13250849-4003225800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist