Doctor Name: | MR. MICHAEL SHANE SIMS |
NPI Number: | 1528046596 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT, OCS, FAAOMPT |
License Number: | 3751 |
Business Practice Address: | 1410 Fretz Dr Edmond, OK - 730035782 |
Business Phone Number: | 4052858477 |
Business Fax Number: | 4052858499 |
Mailing Address: | 1410 Fretz Dr, EDMOND |
State: | OK |
Postal Code: | 730035782 |
Phone Number: | 4052858477 |
Fax Number: | 4052858499 |
NPI Enumeration Date: | 01/09/2006 |
NPI Last Update Date: | 03/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3751 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |