Healthcare Provider Details

I. General information

NPI: 1164479804
Provider Name (Legal Business Name): SUZANNE SEFF PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 PLAYERS CLUB PKWY
MEMPHIS TN
38125-8844
US

IV. Provider business mailing address

3250 PLAYERS CLUB PKWY
MEMPHIS TN
38125-8844
US

V. Phone/Fax

Practice location:
  • Phone: 901-685-7227
  • Fax: 901-748-3489
Mailing address:
  • Phone: 901-685-7227
  • Fax: 901-748-3489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number15381
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: