Individual
COLE CASIMIR SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, ATC, CSCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501303269
MI
2255A2300X
Athletic Trainer
2601002552
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/04/2019
Last updated
06/07/2024
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