Individual
CHAD R SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
245 MAIN ST, RIRIE, ID 83443
(208) 900-6336
(208) 900-4408
Mailing address
PO BOX 273, RIRIE, ID 83443-0273
(208) 900-6336
(208) 900-4408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5816
ID
Other
Enumeration date
08/14/2018
Last updated
04/03/2023
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