Individual
RICHARD SIMMET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT5516
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT5516
LICENSE NUMBER
ME
Enumeration date
11/05/2019
Last updated
11/05/2019
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