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NPI Code Detail

MEDICARE: KEVIN M SEIFERT LPTA

MEDICARE: KEVIN M SEIFERT LPTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPTA. 08811OH

General Provider Information

NPI Number : 1265771513
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN M SEIFERT LPTA
Provider Business Mailing Address
First Line : 4471 HOMESTEAD DR
Second Line :
City : BRUNSWICK
State : OH
Zip : 44212-2505
Country : US
Telephone Number : 330-571-8335
Fax Number :
Provider Business Practice Location Address
First Line : 9001 W 130TH ST
Second Line :
City : NORTH ROYALTON
State : OH
Zip : 44133-1011
Country : US
Telephone Number : 440-237-3104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2013
Last Update Date : 01/07/2015

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