Provider Demographics
NPI:1669708673
Name:CURTISS, CARLI ANNE (LMT)
Entity type:Individual
Prefix:
First Name:CARLI
Middle Name:ANNE
Last Name:CURTISS
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 1:254 ROUTE 17K
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-8343
Mailing Address - Country:US
Mailing Address - Phone:845-567-9190
Mailing Address - Fax:
Practice Address - Street 1:254 ROUTE 17K
Practice Address - Street 2:SUITE 203
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-8343
Practice Address - Country:US
Practice Address - Phone:845-567-9190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021747225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist