Provider Demographics
NPI:1558847418
Name:SIMPKINS, JENNY (LMT, MMP)
Entity Type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:
Last Name:SIMPKINS
Suffix:
Gender:F
Credentials:LMT, MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-3726
Mailing Address - Country:US
Mailing Address - Phone:435-592-2221
Mailing Address - Fax:435-355-3866
Practice Address - Street 1:917 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-3726
Practice Address - Country:US
Practice Address - Phone:435-592-2221
Practice Address - Fax:435-355-3866
Is Sole Proprietor?:No
Enumeration Date:2018-07-13
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9200377-4701225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist