Healthcare Provider Details

I. General information

NPI: 1407530199
Provider Name (Legal Business Name): CATHERINE SEAVER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2023
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10928 EAGLE RIVER RD STE 150
EAGLE RIVER AK
99577-8078
US

IV. Provider business mailing address

10928 EAGLE RIVER RD STE 150
EAGLE RIVER AK
99577-8078
US

V. Phone/Fax

Practice location:
  • Phone: 617-999-5044
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number221193
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: