Provider Demographics
NPI:1891985206
Name:SIMMONS, NANCY (AT,C)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:AT,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 E SUNRISE DR
Mailing Address - Street 2:ATHLETIC TRAINING OFFICE
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-4300
Mailing Address - Country:US
Mailing Address - Phone:520-577-5090
Mailing Address - Fax:520-577-5094
Practice Address - Street 1:4300 E SUNRISE DR
Practice Address - Street 2:ATHLETIC TRAINING OFFICE
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-4300
Practice Address - Country:US
Practice Address - Phone:520-577-5090
Practice Address - Fax:520-577-5094
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ01562255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer