Individual
JAMES MICHAEL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1127 TIETON DR, YAKIMA, WA 98902-3851
(509) 469-7474
(509) 469-7575
Mailing address
1127 TIETON DR, YAKIMA, WA 98902-3851
(509) 469-7474
(509) 469-7575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006779
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134660
LABOR & INDUSTRIES
WA
05
—
8344731
—
WA
01
—
SI3720
REGENCE BLUE SHIELD
WA
Enumeration date
03/26/2007
Last updated
07/08/2007
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