Healthcare Provider Details

I. General information

NPI: 1568273522
Provider Name (Legal Business Name): ASIA MARIE SEIDT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11312 US 15 501 N STE 403
CHAPEL HILL NC
27517-6377
US

IV. Provider business mailing address

7809 ROLLINGTON RD
PEWEE VALLEY KY
40056-9078
US

V. Phone/Fax

Practice location:
  • Phone: 919-933-1110
  • Fax:
Mailing address:
  • Phone: 502-592-0356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number008971
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP25109
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: