| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHAEL SIMMONS | 1376126904 | 2021-05-02 |
Michael Simmons is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1376126904. Registration indicates Michael Simmons is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist) (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Michael Simmons |
| Practice Office Address | 1715 HOWELL MILL RD NW STE B2 ATLANTA, GA US |
| Practice Office Telephone | 4043515432 |
| Mailing Address | 6397 LEE HWY CHATTANOOGA, TN 374212564 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1615 Ridenour Blvd NW Ste 204 | Kennesaw, GA 301524464 | 7705808070 |
| Code | Practice | License No State |
|---|---|---|
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | PT015275
GA |
| 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers |