MEDICARE: SEVN THERAPY CO. PLLC

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
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1720791288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEVN THERAPY CO. PLLC

Provider Business Mailing Address
First Line	:	1700 TENNISON PKWY STE 100B
Second Line	:
City	:	COLLEYVILLE
State	:	TX
Zip	:	76034-6295
Country	:	US
Telephone Number	:	817-778-0522
Fax Number	:	817-778-0336

Provider Business Practice Location Address
First Line	:	1700 TENNISON PKWY STE 100B
Second Line	:
City	:	COLLEYVILLE
State	:	TX
Zip	:	76034-6295
Country	:	US
Telephone Number	:	817-778-0522
Fax Number	:	817-778-0336

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	SEAN REED
Credential	:	DIRECTOR
Telephone Number	:	817-734-5349

Provider Enumeration Date	:	12/29/2022
Last Update Date	:	04/03/2023

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