MEDICARE: SHEILA SIMS MS, L.AC., LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	2023029001	MO
2	225700000X	Massage Therapist	2024011642	MO

General Provider Information

NPI Number	:	1780815035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA SIMS MS, L.AC., LMT

Provider Business Mailing Address
First Line	:	4765 STATE ROAD W
Second Line	:
City	:	MACKS CREEK
State	:	MO
Zip	:	65786
Country	:	US
Telephone Number	:	573-836-5146
Fax Number	:

Provider Business Practice Location Address
First Line	:	752 BAGNELL DAM BLVD STE C102
Second Line	:
City	:	LAKE OZARK
State	:	MO
Zip	:	65049-8711
Country	:	US
Telephone Number	:	573-836-5146
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2009
Last Update Date	:	06/15/2026

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