Individual
MITCHEL J.D. SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2055 W GRANDE BLVD, TYLER, TX 75703-0526
(903) 534-0449
Mailing address
713 VZCR 3617, EDGEWOOD, TX 75117-4042
(903) 330-1039
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2185065
TX
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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