Individual
MS. JENNIFER ANN SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, IANMT, CFT/CMT
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT000675
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
582478355
—
GA
Enumeration date
03/09/2009
Last updated
10/03/2013
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