Individual
JACOB SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
311 CONGRESS PKWY N STE 800, ATHENS, TN 37303-1697
(423) 744-0890
(423) 744-0849
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12416
TN
Other
Enumeration date
06/20/2019
Last updated
08/16/2019
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