Individual
EMMA RAE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
426 INDUSTRIAL AVE, SUITE 190, WILLISTON, VT 05495-4448
(802) 860-4360
Mailing address
1195 NORTH AVE, APT. 404, BURLINGTON, VT 05408-2772
(802) 535-9415
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0096670
VT
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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