Provider Demographics
NPI:1386073385
Name:SIMMONS, ALISON (DC)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:BUTERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:19010 HONEYSUCKLE DR
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-3979
Mailing Address - Country:US
Mailing Address - Phone:402-208-3946
Mailing Address - Fax:
Practice Address - Street 1:18881 W DODGE RD STE 112C
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-4574
Practice Address - Country:US
Practice Address - Phone:402-934-7911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-11
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1819111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor