Provider Demographics
NPI:1679188577
Name:SIMMS, ALICE JANE (LMT, CMLDT, COMT)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:JANE
Last Name:SIMMS
Suffix:
Gender:F
Credentials:LMT, CMLDT, COMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:782 FLETCHERS LEVEL RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:VA
Mailing Address - Zip Code:24521-4327
Mailing Address - Country:US
Mailing Address - Phone:434-841-1800
Mailing Address - Fax:
Practice Address - Street 1:590 PETER JEFFERSON PKWY
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-4628
Practice Address - Country:US
Practice Address - Phone:434-982-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-09
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019003541225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist