Healthcare Provider Details

I. General information

NPI: 1740921188
Provider Name (Legal Business Name): AMANDA MORGAN SEEMANN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 E HARMONY RD STE 110
FORT COLLINS CO
80528-8623
US

IV. Provider business mailing address

2315 E HARMONY RD STE 110
FORT COLLINS CO
80528-8623
US

V. Phone/Fax

Practice location:
  • Phone: 970-495-8490
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberDR.0077966
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: