MEDICARE: KELLI SIMKINS

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	225100000X	Physical Therapist
2	225100000X	Physical Therapist	004386	NY

General Provider Information

NPI Number	:	1295396067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLI SIMKINS

Provider Business Mailing Address
First Line	:	3088 ULSTER CT
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-3252
Country	:	US
Telephone Number	:	406-599-8501
Fax Number	:

Provider Business Practice Location Address
First Line	:	3088 ULSTER CT
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-3252
Country	:	US
Telephone Number	:	303-660-6493
Fax Number	:

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

Provider Enumeration Date	:	06/24/2019
Last Update Date	:	05/01/2023

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Directions to “ KELLI SIMKINS ” Practice Location

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