Provider Demographics
NPI:1548509722
Name:GARRICK, CURTIS LEE (DC)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:LEE
Last Name:GARRICK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33325 SANTIAGO RD
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:CA
Mailing Address - Zip Code:93510-1416
Mailing Address - Country:US
Mailing Address - Phone:661-269-8039
Mailing Address - Fax:661-269-8937
Practice Address - Street 1:10202 SPADE SPRING CANYON RD
Practice Address - Street 2:
Practice Address - City:AGUA DULCE
Practice Address - State:CA
Practice Address - Zip Code:91390-5603
Practice Address - Country:US
Practice Address - Phone:661-268-8816
Practice Address - Fax:661-268-8837
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 26626111N00000X
UT7135235-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor