Provider Demographics
NPI:1811252158
Name:SIMMONS, TERESA MCGHEE (PT)
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:MCGHEE
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8020 HWY. 72 W
Mailing Address - Street 2:STE C
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-9567
Mailing Address - Country:US
Mailing Address - Phone:256-265-5599
Mailing Address - Fax:256-265-5598
Practice Address - Street 1:8020 HWY. 72 W
Practice Address - Street 2:STE C
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9567
Practice Address - Country:US
Practice Address - Phone:256-265-5599
Practice Address - Fax:256-265-5598
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH1132225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist