Healthcare Provider Details

I. General information

NPI: 1174188049
Provider Name (Legal Business Name): JERIMIAH JOSEPH ZACHARY SEEDS-MURPHY DPT, PTA, LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2019
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21915 6TH AVE W
BOTHELL WA
98021-8137
US

IV. Provider business mailing address

21915 6TH AVE W
BOTHELL WA
98021-8137
US

V. Phone/Fax

Practice location:
  • Phone: 909-969-8716
  • Fax:
Mailing address:
  • Phone: 909-969-8716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60303147
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT61590338
License Number StateWA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: