Individual
AMY SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.T.
Contact information
Practice address
1961 CARDINAL LN, SUITE A, FARIBAULT, MN 55021-4353
(507) 333-2986
Mailing address
1961 CARDINAL LN, FARIBAULT, MN 55021-4353
(507) 333-2986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5634
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058287500
—
MN
Enumeration date
02/23/2006
Last updated
01/07/2025
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