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NPI Code Detail

MEDICARE: DAVID L SIMMONS LMT

MEDICARE:   DAVID L SIMMONS  LMT
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
1225700000XMassage Therapist2007011890MO

General Provider Information

NPI Number : 1902247943
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID L SIMMONS LMT
Provider Business Mailing Address
First Line : 3812 FLORA PL
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-3731
Country : US
Telephone Number : 314-520-6674
Fax Number :
Provider Business Practice Location Address
First Line : 3812 FLORA PL
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-3731
Country : US
Telephone Number : 314-520-6674
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2013
Last Update Date : 07/06/2013

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Directions to “ DAVID L SIMMONS LMT” Practice Location

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