Individual
GARRETT DALTON SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
150 MEMORIAL DR, KINGWOOD, WV 26537-1141
(304) 329-1400
(304) 329-1175
Mailing address
150 MEMORIAL DR, KINGWOOD, WV 26537-1141
(304) 329-1400
(304) 329-1175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004184
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004184
STATE PT LICENSE
WV
Enumeration date
03/05/2020
Last updated
03/05/2020
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