Healthcare Provider Details

I. General information

NPI: 1275445934
Provider Name (Legal Business Name): CYNAE ALEXANDRA SEABOLT PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNAE ALEXANDRA WILEY PT, DPT

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426A MCCALL RD
MANHATTAN KS
66502-5032
US

IV. Provider business mailing address

2126 SPAIN DR
MANHATTAN KS
66502-4851
US

V. Phone/Fax

Practice location:
  • Phone: 785-776-0670
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11-08237
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: