Healthcare Provider Details

I. General information

NPI: 1659898963
Provider Name (Legal Business Name): BRIANNA SEIGFRIED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIANNA KILKENNY

II. Dates (important events)

Enumeration Date: 08/28/2017
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 WASHINGTON ST
NORWELL MA
02061-1903
US

IV. Provider business mailing address

341 WASHINGTON ST
NORWELL MA
02061-1903
US

V. Phone/Fax

Practice location:
  • Phone: 339-214-3164
  • Fax:
Mailing address:
  • Phone: 339-214-3164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number23119
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: