Doctor Name: | K'LYNN SIMPSON |
NPI Number: | 1922473073 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 12641 |
Business Practice Address: | 9430 Sw Coral St Tigard, OR - 972236691 |
Business Phone Number: | 5036441418 |
Business Fax Number: | 5036441422 |
Mailing Address: | 9430 Sw Coral St, TIGARD |
State: | OR |
Postal Code: | 972236691 |
Phone Number: | 5036441418 |
Fax Number: | 5036441422 |
NPI Enumeration Date: | 12/01/2015 |
NPI Last Update Date: | 12/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 12641 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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. |