MEDICARE: SETH ROWLAND FOSHEE PT, 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
1	2251N0400X	Neurology Physical Therapist
2	2251X0800X	Orthopedic Physical Therapist
3	225100000X	Physical Therapist	PTH11605	AL

General Provider Information

NPI Number	:	1699542332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SETH ROWLAND FOSHEE PT, DPT

Provider Business Mailing Address
First Line	:	3480 SPRING HILL AVE
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36608-1523
Country	:	US
Telephone Number	:	251-589-6642
Fax Number	:	251-589-6150

Provider Business Practice Location Address
First Line	:	3480 SPRING HILL AVE
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36608-1523
Country	:	US
Telephone Number	:	251-589-6642
Fax Number	:	251-589-6150

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

Provider Enumeration Date	:	12/04/2023
Last Update Date	:	12/04/2023

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