Individual
MR. JEREMY SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 POLARIS PKWY, WESTERVILLE, OH 43082
(614) 533-3000
Mailing address
3390 FIREFLY CT, COLUMBUS, OH 43221-4716
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005652
OH
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/29/2017
Last updated
07/08/2018
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