Individual
WILLIAM CODY SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5140 GALAXIE DR, JACKSON, MS 39206-4335
(769) 216-3288
Mailing address
5140 GALAXIE DR, JACKSON, MS 39206-4335
(769) 216-3288
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-4328
MS
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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