Individual
BRENT R SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
605 E BOONESLICK RD, SUITE 3, WARRENTON, MO 63383-2127
(636) 456-6350
(636) 456-6084
Mailing address
2454 W CLAY ST, SAINT CHARLES, MO 63301-2548
(636) 916-4625
(636) 916-4628
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2013028735
MO
Other
Enumeration date
07/10/2012
Last updated
11/01/2013
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