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NPI Code Detail

MEDICARE: PARKER SEACHRIST DPT

MEDICARE: PARKER SEACHRIST DPT
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
12251P0200XPediatric Physical Therapist2025020252MO
22251P0200XPediatric Physical Therapist070.039730IL

General Provider Information

NPI Number : 1588503353
Entity Type Code : Individual
Provider Name (Legal Business Name) : PARKER SEACHRIST DPT
Provider Business Mailing Address
First Line : 912 LONGFELLOW AVE
Second Line :
City : EDWARDSVILLE
State : IL
Zip : 62025-2336
Country : US
Telephone Number : 314-305-2728
Fax Number :
Provider Business Practice Location Address
First Line : 5114 MID AMERICA PLZ
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63129-0003
Country : US
Telephone Number : 314-305-2728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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Directions to “ PARKER SEACHRIST DPT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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