Individual
KATHERINE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-2786
Mailing address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004991
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5502004991
—
MI
Enumeration date
12/18/2018
Last updated
12/18/2018
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