MR. EDWARD CORNELIUS SIMMONS LMT
NPI 1205265709
Massage Therapist in Detroit, MI
- Individual
- Male
- Massage Therapist
About EDWARD SIMMONS
This page provides the complete NPI Profile along with additional information for Edward Simmons, a provider established in Detroit, Michigan with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1205265709 assigned on November 2013. The practitioner's primary taxonomy code is 225700000X with license number L2550286 (MI). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1205265709 Verify this NPI
- Provider Name
- MR. EDWARD CORNELIUS SIMMONS LMT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 15756 FORRER STREET DETROIT, MI 48227
- Location Phone
- (313) 273-8510
- Location Fax
- (888) 270-1773
- Mailing Address
- 15756 FORRER STREET DETROIT, MI 48227
- Mailing Phone
- (313) 273-8510
- Mailing Fax
- (888) 270-1773
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-05-2013
- Last Update Date
- 11-05-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- L2550286
- License State
- MI
- Taxonomy Description
- An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205265709, enumerated as an "individual" on November 05, 2013.
The provider is located at 15756 FORRER STREET DETROIT, MI 48227 and the phone number is (313) 273-8510.
Massage Therapist with taxonomy code 225700000X.
