Provider Demographics
NPI:1588218184
Name:SIMS, KARAH ELIZABETH (MA, LAT, ATC)
Entity Type:Individual
Prefix:MS
First Name:KARAH
Middle Name:ELIZABETH
Last Name:SIMS
Suffix:
Gender:F
Credentials:MA, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13680 OLD IVEY DR
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35475-3495
Mailing Address - Country:US
Mailing Address - Phone:256-572-4837
Mailing Address - Fax:205-348-4419
Practice Address - Street 1:1201 COLISEUM DRIVE
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401
Practice Address - Country:US
Practice Address - Phone:256-572-4837
Practice Address - Fax:205-348-4419
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL18642255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer