Healthcare Provider Details

I. General information

NPI: 1720135197
Provider Name (Legal Business Name): MRS. SMMION OVERTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. SIMMION HOWELL

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 N COTTONWOOD ST
WOODLAND CA
95695
US

IV. Provider business mailing address

137 N. COTTONWOOD ST
WOODLAND CA
95695
US

V. Phone/Fax

Practice location:
  • Phone: 530-490-1687
  • Fax: 530-666-8633
Mailing address:
  • Phone: 530-490-1687
  • Fax: 530-666-8633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: