Provider Demographics
NPI:1992971568
Name:SIMPSON, CHERYL LOCKE (MPT)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:LOCKE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9102
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85738-9102
Mailing Address - Country:US
Mailing Address - Phone:520-572-6540
Mailing Address - Fax:520-818-3868
Practice Address - Street 1:16256 N ORACLE RD STE 120
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85739-4294
Practice Address - Country:US
Practice Address - Phone:520-572-6540
Practice Address - Fax:520-818-3868
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM386225100000X
AZ11486225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist