Provider Demographics
NPI:1699152546
Name:CURTIS, JENNIFER DEWITT (DPT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:DEWITT
Last Name:CURTIS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13630 58TH ST N
Mailing Address - Street 2:#103
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-3734
Mailing Address - Country:US
Mailing Address - Phone:727-530-1201
Mailing Address - Fax:
Practice Address - Street 1:13630 58TH ST N
Practice Address - Street 2:#103
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-3734
Practice Address - Country:US
Practice Address - Phone:727-530-1201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-29
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT31308225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist