Individual provider · Type 1 NPI

Edward Cornelius Simmons, LMT

Massage Therapist · Detroit, MI

NPI number 1205265709 Active

Practice location

15756 Forrer Street
Detroit, MI 48227

Call (313) 273-8510 Map

Fax (888) 270-1773

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XL2550286 (MI)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1205265709

Edward Cornelius Simmons, LMT's National Provider Identifier is 1205265709, issued on Nov 5, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Detroit, MI. The record was last updated on Nov 5, 2013.