Doctor Name: | STEPHANIE ANN SIMON |
NPI Number: | 1154653707 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 11-04031 |
Business Practice Address: | 33255 Lexington Ave Suite A De Soto, KS - 660187201 |
Business Phone Number: | 9135859844 |
Business Fax Number: | 9135859841 |
Mailing Address: | 11650 Gleason Rd, OLATHE |
State: | KS |
Postal Code: | 660617786 |
Phone Number: | 9139484584 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2010 |
NPI Last Update Date: | 04/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11-04031 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |