Provider Demographics
NPI:1891168662
Name:SIMMONS, SACHA
Entity type:Individual
Prefix:
First Name:SACHA
Middle Name:
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13960 HILLCROFT ST
Mailing Address - Street 2:SUITE 833
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77085-1507
Mailing Address - Country:US
Mailing Address - Phone:281-501-3404
Mailing Address - Fax:
Practice Address - Street 1:13960 HILLCROFT ST
Practice Address - Street 2:SUITE 833
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77085-1507
Practice Address - Country:US
Practice Address - Phone:281-501-3404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116947225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist