National Provider Identifier

Willard Nicholas Simons

Willard Nicholas Simons is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Cuba, NY and a listed phone number of (585) 610-6996.

NPI 1376223875Cuba, NYPhysical Therapy Assistant

Profile Overview

NPI
1376223875
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
July 19, 2023
Last Updated
July 19, 2023

Practice Location

  • 355 N Shore RD
  • Cuba, NY 14727-9227

Phone: (585) 610-6996

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1376223875
Entity Type
Individual
Last Name
Simons
First Name
Willard
Middle Name
Nicholas
Mailing Street Address
355 N Shore RD
Mailing City
Cuba
Mailing State
NY
Mailing ZIP Code
14727-9227
Mailing Country
US
Mailing Phone
(585) 610-6996
Practice Street Address
355 N Shore RD
Practice City
Cuba
Practice State
NY
Practice ZIP Code
14727-9227
Practice Country
US
Practice Phone
(585) 610-6996
Enumeration Date
July 19, 2023
Last Updated
July 19, 2023
Sex
Male
Sole Proprietor
Yes
Certification Date
July 19, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)