Healthcare Provider Details

I. General information

NPI: 1164476990
Provider Name (Legal Business Name): SHARON ANNE SEEMANN P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W BROADWAY 11
LOUISVILLE KY
40203-3595
US

IV. Provider business mailing address

109 LINDEN AVE
FRANKFORT KY
40601-2433
US

V. Phone/Fax

Practice location:
  • Phone: 502-775-2273
  • Fax:
Mailing address:
  • Phone: 502-227-0192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number001526
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: