Provider Demographics
NPI:1356746804
Name:SIMS, GRACE (MS, ATC)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5810 MCARTHUR RANCH ROAD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5207
Mailing Address - Country:US
Mailing Address - Phone:720-308-6985
Mailing Address - Fax:
Practice Address - Street 1:5810 MCARTHUR RANCH ROAD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80124-5207
Practice Address - Country:US
Practice Address - Phone:303-387-3102
Practice Address - Fax:303-387-3021
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7782255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer