Individual
AMBER MACKENZIE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
800 S MAIN ST, HARRISONBURG, VA 22807-0001
(330) 819-5099
Mailing address
336 FIRWOOD AVE, CUYAHOGA FALLS, OH 44221-2312
(330) 819-5099
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002285
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT005068
STATE LICENSURE
OH
Enumeration date
01/14/2015
Last updated
09/29/2022
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