Healthcare Provider Details

I. General information

NPI: 1053449025
Provider Name (Legal Business Name): MARTY SEAMANDS D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4988 S WALLBRIDGE RD
DEER PARK WA
99006-8436
US

IV. Provider business mailing address

4988 S WALLBRIDGE RD
DEER PARK WA
99006-8436
US

V. Phone/Fax

Practice location:
  • Phone: 940-372-4484
  • Fax:
Mailing address:
  • Phone: 940-372-4484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCH2844
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: