Individual
JAMES SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
1039 MONTGOMERY ST, CUSTER, SD 57730-1304
(605) 673-2229
Mailing address
PO BOX 3450, RAPID CITY, SD 57709-3450
(605) 673-2229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0240
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0240
LICENSE
SD
Enumeration date
05/03/2008
Last updated
05/03/2008
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