Provider Demographics
NPI:1306957972
Name:SIMMS, KIM M (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:KIM
Middle Name:M
Last Name:SIMMS
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:844 WEST MAIN ST
Mailing Address - Street 2:HEARTLAND REHABILITATION SERVICES
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153
Mailing Address - Country:US
Mailing Address - Phone:540-387-4311
Mailing Address - Fax:540-389-6212
Practice Address - Street 1:844 WEST MAIN ST
Practice Address - Street 2:HEARTLAND REHABILITATION SERVICES
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153
Practice Address - Country:US
Practice Address - Phone:540-387-4311
Practice Address - Fax:540-389-6212
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA2305002270225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist