Doctor Name: | DR. AMBER SIMECEK |
NPI Number: | 1245277524 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS, MPT, DPT |
License Number: | PT.011434 |
Business Practice Address: | 853 Ireland Ave Ireland Army Community Hospital Fort Knox, KY - 401212727 |
Business Phone Number: | 5026249851 |
Business Fax Number: | 5026249201 |
Mailing Address: | 9300 Liberty Rd, TWINSBURG |
State: | OH |
Postal Code: | 440871836 |
Phone Number: | 5026249109 |
Fax Number: | 5026249201 |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | PT.011434 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |