Provider Demographics
NPI:1760038079
Name:SIMPSON, DAVID (LMT, MMP)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:M
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 1:4403 SNOW MASS DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-5247
Mailing Address - Country:US
Mailing Address - Phone:214-236-7665
Mailing Address - Fax:
Practice Address - Street 1:4403 SNOW MASS DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-5247
Practice Address - Country:US
Practice Address - Phone:214-236-7665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT131348225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist