Provider Demographics
NPI:1649426339
Name:STRAHAN, CURTIS RAY (LAC)
Entity type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:RAY
Last Name:STRAHAN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4403 1ST AVE SE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-3200
Mailing Address - Country:US
Mailing Address - Phone:319-294-5336
Mailing Address - Fax:319-294-5336
Practice Address - Street 1:4403 1ST AVE SE
Practice Address - Street 2:SUITE 102
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-3200
Practice Address - Country:US
Practice Address - Phone:319-294-5336
Practice Address - Fax:319-294-5336
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAA26171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist