Provider Demographics
NPI:1255769444
Name:SIMPKINS, COURTNEY (ATC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:SIMPKINS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 GREENHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-3718
Mailing Address - Country:US
Mailing Address - Phone:540-463-5555
Mailing Address - Fax:540-463-7823
Practice Address - Street 1:143 GREENHOUSE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-3718
Practice Address - Country:US
Practice Address - Phone:540-463-5555
Practice Address - Fax:540-463-7823
Is Sole Proprietor?:No
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0126001135207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine