Provider Demographics
NPI:1124288667
Name:CARLSON, CURTIS SHERWOOD (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:SHERWOOD
Last Name:CARLSON
Suffix:
Gender:M
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 BISHOP CT APT B
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2906
Mailing Address - Country:US
Mailing Address - Phone:303-931-4563
Mailing Address - Fax:
Practice Address - Street 1:930 BISHOP CT APT B
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-2906
Practice Address - Country:US
Practice Address - Phone:303-931-4563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist