Healthcare Provider Details

I. General information

NPI: 1780815035
Provider Name (Legal Business Name): SHEILA SIMS MS, L.AC., LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2009
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

752 BAGNELL DAM BLVD STE C102
LAKE OZARK MO
65049-8711
US

IV. Provider business mailing address

4765 STATE ROAD W
MACKS CREEK MO
65786
US

V. Phone/Fax

Practice location:
  • Phone: 573-836-5146
  • Fax:
Mailing address:
  • Phone: 573-836-5146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number2023029001
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number2024011642
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: