MEDICARE: ASIA SEIDT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1568273522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASIA SEIDT

Provider Business Mailing Address
First Line	:	7809 ROLLINGTON RD
Second Line	:
City	:	PEWEE VALLEY
State	:	KY
Zip	:	40056-9078
Country	:	US
Telephone Number	:	502-592-0356
Fax Number	:

Provider Business Practice Location Address
First Line	:	7809 ROLLINGTON ROAD
Second Line	:
City	:	PEWEE VALLEY
State	:	KY
Zip	:	40056
Country	:	US
Telephone Number	:	502-592-0356
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2025
Last Update Date	:	01/17/2025

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Directions to “ ASIA SEIDT ” Practice Location

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