Provider Demographics
NPI:1114333440
Name:SIMMONS, WHITNEY (MS, OTR/L)
Entity type:Individual
Prefix:MS
First Name:WHITNEY
Middle Name:
Last Name:SIMMONS
Suffix:
Gender:
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 HODGINS RD
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42461-5351
Mailing Address - Country:US
Mailing Address - Phone:270-952-5325
Mailing Address - Fax:
Practice Address - Street 1:640 HODGINS RD
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:KY
Practice Address - Zip Code:42461-5351
Practice Address - Country:US
Practice Address - Phone:270-952-5325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR5937225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist