Mitchel J.d. Simmons, PTA

NPI #1063220762 in Tyler, Texas

Provider Information

NPI Number: 1063220762
Entity Type: Individual
Name: Mitchel J.d. Simmons, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 26, 2024
Last Updated: Dec 26, 2024

Practice Location

Address: 2055 W GRANDE BLVD
City: Tyler
State: Texas
ZIP Code: 75703-0526
Phone: (903) 534-0449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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