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NPI Code Detail

MEDICARE: DR. RYAN ELIZABETH SIMMONS D.P.T.

MEDICARE: DR. RYAN ELIZABETH SIMMONS D.P.T.
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
1225100000XPhysical Therapist60317315WA

General Provider Information

NPI Number : 1447550454
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN ELIZABETH SIMMONS D.P.T.
Provider Business Mailing Address
First Line : 2818 E MADISON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98112-4841
Country : US
Telephone Number : 206-641-7733
Fax Number :
Provider Business Practice Location Address
First Line : 2818 E MADISON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98112-4841
Country : US
Telephone Number : 206-641-7733
Fax Number : 206-447-1592
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2010
Last Update Date : 08/26/2016

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