Provider Demographics
NPI:1962117374
Name:CURRY, VICTORIA JOHNSON (ATC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:JOHNSON
Last Name:CURRY
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:883 SKYCREST COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27205-0936
Mailing Address - Country:US
Mailing Address - Phone:336-953-3227
Mailing Address - Fax:
Practice Address - Street 1:1641 HOPEWELL FRIENDS RD
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27205-1791
Practice Address - Country:US
Practice Address - Phone:336-953-3227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-19
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC390200000X, 2255A2300X
NC20000565882255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program