Provider Demographics
NPI:1386166957
Name:CURTIS, CORY CHRISTINE
Entity type:Individual
Prefix:MRS
First Name:CORY
Middle Name:CHRISTINE
Last Name:CURTIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 WEST RD LOT 2
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:45612-9525
Mailing Address - Country:US
Mailing Address - Phone:937-365-5014
Mailing Address - Fax:
Practice Address - Street 1:7400 WEST ROAD LOT 2
Practice Address - Street 2:
Practice Address - City:BAINBRIGDE
Practice Address - State:OH
Practice Address - Zip Code:45612
Practice Address - Country:US
Practice Address - Phone:937-365-5014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health