Individual
MISS MARLEY JANE SIMONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, OTC
Contact information
Practice address
1635 AURORA CT, AURORA, CO 80045-2541
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0002227
CO
2255A2300X
Athletic Trainer
AT002926
GA
246ZX2200X
Orthopedic Assistant
16-0805
—
Other
Enumeration date
07/13/2017
Last updated
02/18/2021
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