Doctor Name: | MRS. LEILANI GAIL SIMMONS |
NPI Number: | 1023442050 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 47323 |
Business Practice Address: | 1361 S Sumter Blvd North Port, FL - 342872339 |
Business Phone Number: | 9414232667 |
Business Fax Number: | |
Mailing Address: | 7819 Jayman Rd, NORTH PORT |
State: | FL |
Postal Code: | 342915778 |
Phone Number: | 9412765664 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2013 |
NPI Last Update Date: | 08/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 47323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |