Individual
SHAWN PATRICK SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
451 W LOCKE ST, ASHDOWN, AR 71822-3325
(870) 898-4115
Mailing address
842 LITTLE RIVER 17, ASHDOWN, AR 71822-9455
(870) 898-2583
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1096923
TX
225100000X
Physical Therapist
Primary
PT 2173
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145189721
—
AR
Enumeration date
05/10/2007
Last updated
08/11/2009
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