Provider Demographics
NPI:1962097048
Name:CURRIE, ELISHEA L (LMT)
Entity type:Individual
Prefix:
First Name:ELISHEA
Middle Name:L
Last Name:CURRIE
Suffix:
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8225 E SPEEDWAY BLVD APT 1007
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-1745
Mailing Address - Country:US
Mailing Address - Phone:901-720-0494
Mailing Address - Fax:
Practice Address - Street 1:6440 E BROADWAY BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-3504
Practice Address - Country:US
Practice Address - Phone:520-881-0827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-01
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT012275225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty