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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD GLEN SIMMONS JR., PT

Active

RICHARD GLEN SIMMONS JR., PT is a Physical Therapy Assistant healthcare provider located in SCOTT AIR FORCE BASE, Illinois. NPI 1881689438 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SCOTT AIR FORCE BASE, IL

Registration Details

NPI Number
1881689438
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2005 (20.909361552385 yrs)
Last Updated
Jan 5, 2013
License
070-009848 (IL)

Practice Information

Address
310 W LOSEY ST
SCOTT AIR FORCE BASE, IL, 622255250
Browse IL providers · Browse ZIP 62225
Phone
6182566280
Fax
6182567318
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SCOTT AIR FORCE BASE, IL

Name Credential NPI
MICHELLE MCPHERSON P.T. 1184758963
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.