Provider Demographics
NPI:1174224273
Name:SIMS, ANDREW
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:SIMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 ROBIN HOOD DR NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-3337
Mailing Address - Country:US
Mailing Address - Phone:256-497-5531
Mailing Address - Fax:
Practice Address - Street 1:166 INDUSTRIAL DRIVE
Practice Address - Street 2:
Practice Address - City:DUCKTOWN
Practice Address - State:TN
Practice Address - Zip Code:37326
Practice Address - Country:US
Practice Address - Phone:423-496-3245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant