Ethan Simmons
Ethan Simmons is a Physical Therapist in Decatur, Illinois. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
1830 S 44th StDecatur, IL 62521-5147
Phone: (217) 423-2784
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1386148450 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 22, 2018 |
| Last updated in NPPES | March 22, 2018 |
| Mailing address | 2300 N Edward St, Decatur, IL 62526-4163 |
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