Individual
THOMAS RICHARD SIMAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 LINDSEY WILSON ST, COLUMBIA, KY 42728-1223
(224) 735-6856
Mailing address
2370 CAVE MILL STATION BLVD, BOWLING GREEN, KY 42104-6364
(224) 735-6856
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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