Provider Demographics
NPI:1932163284
Name:MCAULIFF, CURTIS WRIGHT (ATC)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:WRIGHT
Last Name:MCAULIFF
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3316 PRAIRIE AVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-5484
Mailing Address - Country:US
Mailing Address - Phone:405-359-3305
Mailing Address - Fax:405-425-1962
Practice Address - Street 1:2501 E MEMORIAL RD
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-5525
Practice Address - Country:US
Practice Address - Phone:405-425-5385
Practice Address - Fax:405-425-1962
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKAT 1892255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer