Provider Demographics
NPI:1316506009
Name:SIMMS, RACHEL (OTR/L)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:SIMMS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 MILL BROOK CIR
Mailing Address - Street 2:
Mailing Address - City:SHEPHERDSVLLE
Mailing Address - State:KY
Mailing Address - Zip Code:40165-6973
Mailing Address - Country:US
Mailing Address - Phone:502-594-1647
Mailing Address - Fax:
Practice Address - Street 1:6301 BASS RD
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-9384
Practice Address - Country:US
Practice Address - Phone:502-228-8359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251260225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist