Provider Demographics
NPI:1043473044
Name:MCENTIRE, CURTIS ADRIAN (DC)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:ADRIAN
Last Name:MCENTIRE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1481 WESTON PL
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-2243
Mailing Address - Country:US
Mailing Address - Phone:775-787-5070
Mailing Address - Fax:
Practice Address - Street 1:1481 WESTON PL
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-2243
Practice Address - Country:US
Practice Address - Phone:775-787-5070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNVMT 3166225700000X
NVB00957111N00000X
NV05064362255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer