Individual
EMILY JEANETTE SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3676 PARKER BLVD, PUEBLO, CO 81008-2212
(719) 553-2200
(719) 553-2216
Mailing address
3676 PARKER BLVD, P.O. BOX 9000, PUEBLO, CO 81008-2212
(719) 553-2200
(719) 553-2216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL0011937
STATE LICENSE
CO
Enumeration date
12/31/2007
Last updated
12/30/2015
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