Individual
MARK SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
353 NEW SHACKLE ISLAND RD STE 142C, HENDERSONVILLE, TN 37075-2487
(615) 826-4205
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11407
TN
225100000X
Physical Therapist
PT010834
GA
225100000X
Physical Therapist
PTH6577
AL
2251E1300X
Clinical Electrophysiology Physical Therapist
11407
TN
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
CPO15837T
NC
Other
Enumeration date
07/07/2015
Last updated
03/17/2026
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