Provider Demographics
NPI:1538357462
Name:SIMS, JENNI B WOOD (PT, COTA)
Entity type:Individual
Prefix:
First Name:JENNI
Middle Name:B WOOD
Last Name:SIMS
Suffix:
Gender:F
Credentials:PT, COTA
Other - Prefix:
Other - First Name:JENNI
Other - Middle Name:B
Other - Last Name:WOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, COTA
Mailing Address - Street 1:260 MERRIMON AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1244
Mailing Address - Country:US
Mailing Address - Phone:828-785-4700
Mailing Address - Fax:828-552-5566
Practice Address - Street 1:260 MERRIMON AVE STE 100
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1244
Practice Address - Country:US
Practice Address - Phone:828-785-4700
Practice Address - Fax:828-552-5566
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP11308225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist