Individual
JOHANNA C SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1301 HERR LN, LOUISVILLE, KY 40222-4388
(502) 412-9383
Mailing address
1637 DEERWOOD AVE, LOUISVILLE, KY 40205-1003
(502) 645-2991
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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