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NPI Code Detail

MEDICARE: MS. KESHIA MARIE SIMS CMT

MEDICARE: MS. KESHIA MARIE SIMS CMT
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1821630518
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KESHIA MARIE SIMS CMT
Provider Business Mailing Address
First Line : 13018 W WHITTON AVE
Second Line :
City : AVONDALE
State : AZ
Zip : 85392-6700
Country : US
Telephone Number : 480-495-5633
Fax Number :
Provider Business Practice Location Address
First Line : 2701 N 7TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-1004
Country : US
Telephone Number : 602-307-0008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2019
Last Update Date : 10/14/2019

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