Individual
CODI SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
915 S JACKSON ST, MONTGOMERY, AL 36104-5716
(254) 458-9378
Mailing address
5600 CARMICHAEL RD APT 512, MONTGOMERY, AL 36117-1804
(254) 458-9378
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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