Provider Demographics
NPI:1396947347
Name:SIMCHECK, CAROLYN F (LMT, PTA)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:F
Last Name:SIMCHECK
Suffix:
Gender:F
Credentials:LMT, PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2961 PLACIDA ROAD
Mailing Address - Street 2:#11
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34224-8525
Mailing Address - Country:US
Mailing Address - Phone:941-697-7737
Mailing Address - Fax:941-697-1688
Practice Address - Street 1:2961 PLACIDA ROAD
Practice Address - Street 2:#11
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34224-8525
Practice Address - Country:US
Practice Address - Phone:941-697-7737
Practice Address - Fax:941-697-1688
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA10907225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMA10907OtherMASSAGE THERAPY