Individual
MRS. TAMMY MARIE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, PT
Contact information
Practice address
6239 S EAST ST, A, INDIANAPOLIS, IN 46227-2090
(317) 791-9031
Mailing address
3610 S HOMESTEAD DR, NEW PALESTINE, IN 46163-9438
(317) 965-3483
(317) 806-7804
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05002124A
IN
2251X0800X
Orthopedic Physical Therapist
05002124A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000369371
ANTHEM BC/BS
IN
Enumeration date
01/12/2006
Last updated
01/29/2016
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