Most Relevant Information
Provider Data
| NPI Number: | 1003561804 |
| Provider Name: | SIMONE ADDISON PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 0018215 |
Most Important Dates
| Enumeration Date: | 02/21/2022 |
| Last Updated: | 02/21/2022 |
Provider Practice Location
12605 E 16TH AVE
AURORA
CO
800452545
Practice Location Phone/Fax
| Phone: | 7208480000 |
| Fax: |
Provider Mailing Location
4984 CARR ST
ARVADA
CO
800024320
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |