MEDICARE: MRS. TAMMY L SEAGRAVE MPT

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
1	225100000X	Physical Therapist	PT00007933	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	TH5712	OTHER	WA	REGENCE BS
2	130029	OTHER	WA	DEPT OF LABOR & INDUSTRIE
3	8935156	OTHER	WA	CRIME VICTIME
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437141124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TAMMY L SEAGRAVE MPT

Provider Business Mailing Address
First Line	:	PO BOX 731269
Second Line	:
City	:	PUYALLUP
State	:	WA
Zip	:	98373-0060
Country	:	US
Telephone Number	:	253-840-2313
Fax Number	:	253-840-6340

Provider Business Practice Location Address
First Line	:	8910 184TH AVE E
Second Line	:
City	:	BONNEY LAKE
State	:	WA
Zip	:	98391-8531
Country	:	US
Telephone Number	:	253-863-7510
Fax Number	:	253-863-5970

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1346232022 — MRS. HOLLY PENNINGTON MPT
Practice Location Address:

8910 184TH AVE E
BONNEY LAKE, WA
98391-8531

Practice Phone: 253-863-7510
Practice Fax: 253-863-5970

1700878402 — MR. KENNETH B AULT LMP
Practice Location Address:

8910 184TH AVE E
BONNEY LAKE, WA
98391-8531

Practice Phone: 253-863-7510
Practice Fax: 253-863-5970

1821080557 — MS. KERI L NOTTINGHAM LMP
Practice Location Address:

8910 184TH AVE E
BONNEY LAKE, WA
98391-8531

Practice Phone: 253-863-7510
Practice Fax: 253-863-5970

1871716647 — GORDON WILLIAM COLLINS DDS
Practice Location Address:

8910 184TH AVE E , SUITE D
BONNEY LAKE, WA
98391-8531

Practice Phone: 253-863-5185
Practice Fax: 253-863-5185

1962519934 — L & D COMMUNITY CARE, INC
Practice Location Address:

430 ALAMO ST STE 200
LAKE CHARLES, LA
70601-8531

Practice Phone: 337-237-0104
Practice Fax:

1225102841 — L & D COMMUNITY CARE, INC.
Practice Location Address:

430 ALAMO ST STE 200
LAKE CHARLES, LA
70601-8531

Practice Phone: 337-433-0242
Practice Fax:

Directions to “ MRS. TAMMY L SEAGRAVE MPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.