Provider Demographics
NPI:1063605525
Name:WILLS, CURTIS (MS, MS, MS, CES, ATC)
Entity type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:
Last Name:WILLS
Suffix:
Gender:M
Credentials:MS, MS, MS, CES, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9501 OLD ANNAPOLIS RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-6314
Mailing Address - Country:US
Mailing Address - Phone:410-772-2000
Mailing Address - Fax:
Practice Address - Street 1:9501 OLD ANNAPOLIS ROAD
Practice Address - Street 2:SUITE 220
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042
Practice Address - Country:US
Practice Address - Phone:410-772-2000
Practice Address - Fax:410-772-2039
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-19
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer