Provider Demographics
NPI:1982810560
Name:CURRIE, GISELLE MARIE (PT)
Entity Type:Individual
Prefix:
First Name:GISELLE
Middle Name:MARIE
Last Name:CURRIE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4861 LAKEVIEW CIRCLE
Mailing Address - Street 2:
Mailing Address - City:COLORADO CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81019
Mailing Address - Country:US
Mailing Address - Phone:719-546-0037
Mailing Address - Fax:719-546-0039
Practice Address - Street 1:2131 JERRY MURPHY RD
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81001-1262
Practice Address - Country:US
Practice Address - Phone:719-546-0037
Practice Address - Fax:719-546-0039
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3758225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist