Provider Demographics
NPI:1881895696
Name:CURTIS, MICHELE A
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:A
Last Name:CURTIS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MISH
Other - Middle Name:A
Other - Last Name:CURTIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7342 DIBBLE AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-5123
Mailing Address - Country:US
Mailing Address - Phone:206-782-0729
Mailing Address - Fax:
Practice Address - Street 1:7342 DIBBLE AVE NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-5123
Practice Address - Country:US
Practice Address - Phone:206-782-0729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00007561172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist