NPI 1063220762

Mitchel J.D. Simmons, PTA

Practitioner Physical Therapy Assistant Tyler, TX

Practice location

Address: 2055 W Grande Blvd, Tyler, TX 75703-0526
Phone: (903) 534-0449
Mailing address: 713 Vzcr 3617, Edgewood, TX 75117-4042

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2185065 (TX)

Other Physical Therapy Assistant providers in Texas →

Registry record

NPI: 1063220762
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Dec 2024
Record last updated: 26 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.