Doctor Name: | MR. SIMON LEE |
NPI Number: | 1033434113 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | C.M.T. |
License Number: | 0019007395 |
Business Practice Address: | 6500 Arlington Blvd #206 Falls Church, VA - 22042 |
Business Phone Number: | 5712651170 |
Business Fax Number: | |
Mailing Address: | 6500 Arlington Blvd Ste 206, FALLS CHURCH |
State: | VA |
Postal Code: | 220422352 |
Phone Number: | 5712651170 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2010 |
NPI Last Update Date: | 04/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 0019007395 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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. |