Provider Demographics
NPI:1780815035
Name:SIMS, SHEILA (MS, LAC, LMT)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:SIMS
Suffix:
Gender:
Credentials:MS, LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4203 E US HIGHWAY 54
Mailing Address - Street 2:
Mailing Address - City:LINN CREEK
Mailing Address - State:MO
Mailing Address - Zip Code:65052-1745
Mailing Address - Country:US
Mailing Address - Phone:573-410-9810
Mailing Address - Fax:
Practice Address - Street 1:4203 E US HIGHWAY 54
Practice Address - Street 2:
Practice Address - City:LINN CREEK
Practice Address - State:MO
Practice Address - Zip Code:65052-1745
Practice Address - Country:US
Practice Address - Phone:303-868-0811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024011642225700000X
MO2023029001171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist