Individual
MR. MICHAEL SHANE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, OCS, FAAOMPT
Contact information
Practice address
1410 FRETZ DR, EDMOND, OK 73003-5782
(405) 285-8477
(405) 285-8499
Mailing address
1410 FRETZ DR, EDMOND, OK 73003-5782
(405) 285-8477
(405) 285-8499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3751
OK
Other
Enumeration date
01/09/2006
Last updated
03/06/2008
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