Healthcare Provider Details

I. General information

NPI: 1073640892
Provider Name (Legal Business Name): AMEE L SEITZ PT, DPT, MS, OCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 PARKMAN ST WACC 128
BOSTON MA
02114-3117
US

IV. Provider business mailing address

9 W BROADWAY #422
BOSTON MA
02127-1039
US

V. Phone/Fax

Practice location:
  • Phone: 617-724-0191
  • Fax:
Mailing address:
  • Phone: 617-270-6125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number11036
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: